Provider Demographics
NPI:1669663357
Name:SAMANEZ LARKIN, SILVIA PATRICIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:PATRICIA
Last Name:SAMANEZ LARKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:PATRICIA
Other - Last Name:SAMANEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2840 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2317
Mailing Address - Country:US
Mailing Address - Phone:305-857-0050
Mailing Address - Fax:305-854-4849
Practice Address - Street 1:2840 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2317
Practice Address - Country:US
Practice Address - Phone:305-857-0050
Practice Address - Fax:305-854-4849
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
FLPY9650103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling