Provider Demographics
NPI:1700402591
Name:SILVA, MONICA SALDANA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:SALDANA
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 VERNIER RD APT 18
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1571
Mailing Address - Country:US
Mailing Address - Phone:805-714-0333
Mailing Address - Fax:
Practice Address - Street 1:1750 VERNIER RD APT 18
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1571
Practice Address - Country:US
Practice Address - Phone:805-714-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011072221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical