Doctor Name: | MS. MARISA ANNE SILVA |
NPI Number: | 1023107042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 44SC00155400 |
Business Practice Address: | 117 Rte 35 Suite #5 Keyport, NJ - 077351406 |
Business Phone Number: | 7329483297 |
Business Fax Number: | |
Mailing Address: | 29 Firestone Dr, HOWELL |
State: | NJ |
Postal Code: | 07731 |
Phone Number: | 7329483297 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC00155400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |