Provider Demographics
NPI:1902385859
Name:SAVAGE, BLEU J (MA, MS)
Entity type:Individual
Prefix:MRS
First Name:BLEU
Middle Name:J
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:MS
Other - First Name:DANELL
Other - Middle Name:MARIE
Other - Last Name:RAHNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1503 WESTMORE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-7469
Mailing Address - Country:US
Mailing Address - Phone:405-474-8713
Mailing Address - Fax:
Practice Address - Street 1:17300 SERRANO DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170
Practice Address - Country:US
Practice Address - Phone:405-474-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-11
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator