Provider Demographics
NPI:1336225655
Name:SAVAGE, LINDA EILEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:EILEEN
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 EKLUND CT
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-7104
Mailing Address - Country:US
Mailing Address - Phone:760-758-3308
Mailing Address - Fax:760-941-3987
Practice Address - Street 1:1164 EKLUND CT
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7104
Practice Address - Country:US
Practice Address - Phone:760-758-3308
Practice Address - Fax:760-941-3987
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 9335103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical