Provider Demographics
NPI:1609072800
Name:SYLVESTER, VILMA LILA (MFT)
Entity Type:Individual
Prefix:MS
First Name:VILMA
Middle Name:LILA
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 10112
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588
Mailing Address - Country:US
Mailing Address - Phone:925-640-7481
Mailing Address - Fax:925-463-8185
Practice Address - Street 1:1664 SOLANO AVE.
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707
Practice Address - Country:US
Practice Address - Phone:925-640-7481
Practice Address - Fax:925-463-8185
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42735106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist