Doctor Name: | MS. LAURA SILVA |
NPI Number: | 1013073212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.., LICMHC |
License Number: | 1469 |
Business Practice Address: | 52 Cedar St Worcester, MA - 016092134 |
Business Phone Number: | 5087541406 |
Business Fax Number: | |
Mailing Address: | 262 Tom Swamp Rd, PETERSHAM |
State: | MA |
Postal Code: | 013669615 |
Phone Number: | 9782494109 |
Fax Number: | 9782490997 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |