Provider Demographics
NPI:1578359766
Name:SAYLOR, SAMUEL JR
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:SAYLOR
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BARNARD LN STE 111
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2452
Mailing Address - Country:US
Mailing Address - Phone:860-796-3076
Mailing Address - Fax:
Practice Address - Street 1:3 BARNARD LN STE 111
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2452
Practice Address - Country:US
Practice Address - Phone:860-796-3076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8347104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker