Provider Demographics
NPI:1811294309
Name:SAFER, STEPHEN B (MSW,S/T)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:B
Last Name:SAFER
Suffix:
Gender:M
Credentials:MSW,S/T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 CORNELL AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2757
Mailing Address - Country:US
Mailing Address - Phone:912-354-7447
Mailing Address - Fax:912-354-7448
Practice Address - Street 1:1149 CORNELL AVE STE 3A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2757
Practice Address - Country:US
Practice Address - Phone:912-354-7447
Practice Address - Fax:912-354-7448
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health