Provider Demographics
NPI:1487870143
Name:SAVAGE, KAREN HAAGENSEN (MS)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HAAGENSEN
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:H
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:239 N BROADWAY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2674
Mailing Address - Country:US
Mailing Address - Phone:914-631-6061
Mailing Address - Fax:
Practice Address - Street 1:239 N BROADWAY
Practice Address - Street 2:SUITE 6
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2674
Practice Address - Country:US
Practice Address - Phone:914-631-6061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist