Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003043589 |
---|---|
Provider Name | Ms. Tania R. Silva |
First Address | Hyannis, MA 02601-1843 |
Second Address | Hyannis, MA 02601-1843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 11/06/2009 |