Provider Demographics
NPI:1992430680
Name:SAVAGE-HARDY, DIONNE
Entity type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:SAVAGE-HARDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 DERBY MANOR LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2995
Mailing Address - Country:US
Mailing Address - Phone:301-332-3964
Mailing Address - Fax:
Practice Address - Street 1:5302 DERBY MANOR LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-2995
Practice Address - Country:US
Practice Address - Phone:301-332-3964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst