Provider Demographics
NPI:1871087726
Name:SAVARD, ADRIAN DREHER (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:DREHER
Last Name:SAVARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ADRIAN
Other - Middle Name:LEIGH
Other - Last Name:DREHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:2058 BILL DOWNING RD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-9335
Mailing Address - Country:US
Mailing Address - Phone:601-812-8035
Mailing Address - Fax:
Practice Address - Street 1:1420 NW GILMAN BLVD
Practice Address - Street 2:STE. 2 #9141
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027
Practice Address - Country:US
Practice Address - Phone:601-812-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS631167103TC0700X, 103TC2200X, 103TS0200X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty