Provider Demographics
NPI:1942422704
Name:RESTIVO, SILVIA (LPC)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:
Last Name:RESTIVO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W PALL MALL ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4532
Mailing Address - Country:US
Mailing Address - Phone:540-974-5873
Mailing Address - Fax:
Practice Address - Street 1:17 W PALL MALL ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4532
Practice Address - Country:US
Practice Address - Phone:540-974-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional