Provider Demographics
NPI:1194208587
Name:TWOMBLY, SAIGE M (PSYD)
Entity type:Individual
Prefix:DR
First Name:SAIGE
Middle Name:M
Last Name:TWOMBLY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8660 S MACKINAW TRL
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-9746
Mailing Address - Country:US
Mailing Address - Phone:231-846-8191
Mailing Address - Fax:231-600-7091
Practice Address - Street 1:8660 S MACKINAW TRL
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-9746
Practice Address - Country:US
Practice Address - Phone:231-846-8191
Practice Address - Fax:231-600-7091
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017612103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical