Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY00002840 | WA |
N | 103TC0700X | Clinical Psychologist | PY00002840 | WA |
N | 103TA0700X | Adult Development & Aging Psychologist | PY00002840 | WA |
Y | 103G00000X | Clinical Psychologist | PY00002840 | WA |
Y | 103TC0700X | Clinical Psychologist | PY00002840 | WA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY00002840 | WA |
N | 103TS0200X | School Psychologist | EDUCATION SVC CERT. | WA |
NPI | 1831195486 |
---|---|
Provider Name | Dr. Leslie Anne Savage |
First Address | Silverdale, WA 98383 |
Second Address | Silverdale, WA 98383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 08/10/2012 |