Provider Demographics
NPI:1629376462
Name:SAVON, SUMMER PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:PATRICIA
Last Name:SAVON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31100 PINETREE RD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5963
Mailing Address - Country:US
Mailing Address - Phone:216-450-1016
Mailing Address - Fax:216-450-1108
Practice Address - Street 1:31100 PINETREE RD
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5963
Practice Address - Country:US
Practice Address - Phone:216-450-1016
Practice Address - Fax:216-450-1106
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1260892084P0800X
OH35.1208332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry