Provider Demographics
NPI:1740559772
Name:SILVIA, JENNA MARIE
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:MARIE
Last Name:SILVIA
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 1:7 TUDOR PL
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3620
Mailing Address - Country:US
Mailing Address - Phone:732-299-9088
Mailing Address - Fax:
Practice Address - Street 1:325 HERBERTSVILLE RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-1713
Practice Address - Country:US
Practice Address - Phone:732-836-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst