Provider Demographics
NPI:1063526333
Name:SAAR, COLLEEN MARIA DORFMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARIA DORFMAN
Last Name:SAAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:COLLEEN
Other - Middle Name:MARIA
Other - Last Name:DORFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:6780 PITTSFORD PALMYRA RD
Mailing Address - Street 2:BLDG. 3, SUITE 4D
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3360
Mailing Address - Country:US
Mailing Address - Phone:585-880-8640
Mailing Address - Fax:
Practice Address - Street 1:6780 PITTSFORD PALMYRA RD
Practice Address - Street 2:BLDG. 3, SUITE 4D
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3360
Practice Address - Country:US
Practice Address - Phone:585-880-8640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100419200103G00000X
NJ35SI00419200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist