Provider Demographics
NPI:1366865818
Name:SILVA, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CDC, AA
Mailing Address - Street 1:2442 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8910
Mailing Address - Country:US
Mailing Address - Phone:610-758-8011
Mailing Address - Fax:610-758-8013
Practice Address - Street 1:2442 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8910
Practice Address - Country:US
Practice Address - Phone:610-758-8011
Practice Address - Fax:610-758-8013
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)