Provider Demographics
NPI:1942631056
Name:SAVIOLA, LAURA LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:SAVIOLA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:HODGES, HELMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BROWN
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-0217
Mailing Address - Country:US
Mailing Address - Phone:503-559-0155
Mailing Address - Fax:
Practice Address - Street 1:180 RAMSGATE SQ S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5864
Practice Address - Country:US
Practice Address - Phone:831-295-8884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-29
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3199103TC0700X
WAPY60357645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical