Provider Demographics
NPI:1154316602
Name:SAUL, MARJORIE (MD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:
Last Name:SAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 W CHESTER PIKE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5683
Mailing Address - Country:US
Mailing Address - Phone:610-696-5771
Mailing Address - Fax:610-696-5922
Practice Address - Street 1:1246 W CHESTER PIKE
Practice Address - Street 2:SUITE 308
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5683
Practice Address - Country:US
Practice Address - Phone:610-696-5771
Practice Address - Fax:610-696-5922
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023978E2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry