Provider Demographics
NPI:1861786352
Name:SAVITZ, NANCY L (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:SAVITZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6145 N MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1330
Mailing Address - Country:US
Mailing Address - Phone:215-410-8578
Mailing Address - Fax:215-548-2858
Practice Address - Street 1:6145 N MARSHALL ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1330
Practice Address - Country:US
Practice Address - Phone:215-410-8578
Practice Address - Fax:215-548-2858
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003890L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist