Provider Demographics
NPI:1902380108
Name:SILVIA, PAULETTE MICHELLE
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:MICHELLE
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 1:1 S SPOONER ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4446
Mailing Address - Country:US
Mailing Address - Phone:508-209-7218
Mailing Address - Fax:
Practice Address - Street 1:1 S SPOONER ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4446
Practice Address - Country:US
Practice Address - Phone:508-209-7218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator