Provider Demographics
NPI:1174757330
Name:SAVINI, JANEEN MARIE
Entity type:Individual
Prefix:
First Name:JANEEN
Middle Name:MARIE
Last Name:SAVINI
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 1:1250 SUMMER ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5358
Mailing Address - Country:US
Mailing Address - Phone:203-325-2455
Mailing Address - Fax:203-975-1544
Practice Address - Street 1:1250 SUMMER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5358
Practice Address - Country:US
Practice Address - Phone:203-325-2455
Practice Address - Fax:203-975-1544
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2020-09-01
Deactivation Date:2020-07-29
Deactivation Code:
Reactivation Date:2020-08-25
Provider Licenses
StateLicense IDTaxonomies
CT004239101YP2500X
CT005811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist