Provider Demographics
NPI:1881833366
Name:SAAVEDRA, DYRCIA AURORA
Entity Type:Individual
Prefix:MS
First Name:DYRCIA
Middle Name:AURORA
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DYRCIA
Other - Middle Name:AURORA
Other - Last Name:SAAVEDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASTER OF SCIENCE
Mailing Address - Street 1:12512 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9209
Mailing Address - Country:US
Mailing Address - Phone:813-977-8700
Mailing Address - Fax:819-975-8138
Practice Address - Street 1:12512 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9209
Practice Address - Country:US
Practice Address - Phone:813-977-8700
Practice Address - Fax:813-975-8138
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT-400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist