Provider Demographics
NPI:1629849070
Name:SCHWENNING, SAVANNAH NICOLE (MA, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:SAVANNAH
Middle Name:NICOLE
Last Name:SCHWENNING
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8860 VILLA LA JOLLA DR UNIT 220
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1963
Mailing Address - Country:US
Mailing Address - Phone:916-626-1514
Mailing Address - Fax:
Practice Address - Street 1:16935 W BERNARDO DR STE 122
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1623
Practice Address - Country:US
Practice Address - Phone:858-868-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist