Provider Demographics
NPI:1962618868
Name:SAVAGE, DEBBIE NORLENE (PSYD)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:NORLENE
Last Name:SAVAGE
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:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:GATES
Mailing Address - State:NC
Mailing Address - Zip Code:27937-0024
Mailing Address - Country:US
Mailing Address - Phone:252-287-5500
Mailing Address - Fax:252-262-2940
Practice Address - Street 1:405 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4427
Practice Address - Country:US
Practice Address - Phone:252-287-5500
Practice Address - Fax:252-262-2940
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103377103TC0700X
NC2144103TM1800X
NC6082103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107018Medicaid