Provider Demographics
NPI:1447058367
Name:SAAR, DESIREE P
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:P
Last Name:SAAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18421-1733
Mailing Address - Country:US
Mailing Address - Phone:570-493-1908
Mailing Address - Fax:
Practice Address - Street 1:306 6TH ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:PA
Practice Address - Zip Code:18421-1733
Practice Address - Country:US
Practice Address - Phone:570-493-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered