Provider Demographics
NPI:1275521403
Name:SILVIA, DANIEL JEFFREY
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JEFFREY
Last Name:SILVIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HHD USAG
Mailing Address - Street 2:UNIT# 15543, ADCO
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96224
Mailing Address - Country:US
Mailing Address - Phone:82031-869-4006
Mailing Address - Fax:82031-869-4791
Practice Address - Street 1:18TH MEDCOM
Practice Address - Street 2:ATTN: DCCS-QM (CREDENTIALS)
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205-0054
Practice Address - Country:US
Practice Address - Phone:0118227-916-6027
Practice Address - Fax:0118227-917-8110
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2078801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical