Provider Demographics
NPI:1801401351
Name:SILVA, STEPHANIE R (BSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R
Last Name:SILVA
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 E 31ST ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5010
Mailing Address - Country:US
Mailing Address - Phone:918-585-1213
Mailing Address - Fax:
Practice Address - Street 1:5330 E 31ST ST STE 1000
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5010
Practice Address - Country:US
Practice Address - Phone:918-585-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist