Doctor Name: | MRS. EUGENIA SILVA |
NPI Number: | 1356417653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 6128 |
Business Practice Address: | 175 Dwight Rd Suite 303 Longmeadow, MA - 011061761 |
Business Phone Number: | 4135679993 |
Business Fax Number: | |
Mailing Address: | 107 Riscount Road, LONGMEADOW |
State: | MA |
Postal Code: | 01106 |
Phone Number: | 4135676316 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |