Provider Demographics
NPI:1982933719
Name:SAVITT, MARIJA GINETTE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIJA
Middle Name:GINETTE
Last Name:SAVITT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MARIJA
Other - Middle Name:GINETTE
Other - Last Name:BRADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 777521
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7521
Mailing Address - Country:US
Mailing Address - Phone:702-748-7479
Mailing Address - Fax:
Practice Address - Street 1:4530 S DECATUR BLVD STE 201A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-5239
Practice Address - Country:US
Practice Address - Phone:725-309-0534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No174400000XOther Service ProvidersSpecialist