Provider Demographics
NPI:1376097444
Name:SILVA, DANIELA CRISTINA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:CRISTINA
Last Name:SILVA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:CRISTINA
Other - Last Name:SISNEROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1047 SAND DUNE RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-8053
Mailing Address - Country:US
Mailing Address - Phone:575-741-1431
Mailing Address - Fax:
Practice Address - Street 1:1047 SAND DUNE RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-8053
Practice Address - Country:US
Practice Address - Phone:575-741-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-06
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSLP5998235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist