Provider Demographics
NPI:1255362067
Name:SAAR, TIMOTHY S (PHD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:S
Last Name:SAAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 3RD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-1329
Mailing Address - Country:US
Mailing Address - Phone:304-744-8855
Mailing Address - Fax:304-513-1222
Practice Address - Street 1:515 3RD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1329
Practice Address - Country:US
Practice Address - Phone:304-744-8855
Practice Address - Fax:304-513-1222
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV654103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9205092000Medicaid
WVSACP13923Medicare ID - Type Unspecified