Provider Demographics
NPI:1003043589
Name:SILVA, TANIA R
Entity Type:Individual
Prefix:MS
First Name:TANIA
Middle Name:R
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TANIA
Other - Middle Name:R
Other - Last Name:VITORINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 PERSEVERANCE WAY # 2
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1843
Mailing Address - Country:US
Mailing Address - Phone:508-681-9828
Mailing Address - Fax:
Practice Address - Street 1:60 PERSEVERANCE WAY # 2
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1843
Practice Address - Country:US
Practice Address - Phone:508-681-9828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical