Provider Demographics
NPI:1215546221
Name:SILVA, CHRISTEEN SONALY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEEN
Middle Name:SONALY
Last Name:SILVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 WHITNEY RANCH DR APT 826
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2570
Mailing Address - Country:US
Mailing Address - Phone:573-612-8630
Mailing Address - Fax:
Practice Address - Street 1:981 WHITNEY RANCH DR APT 826
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2570
Practice Address - Country:US
Practice Address - Phone:573-612-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-26
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0953103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical