Provider Demographics
NPI:1972354348
Name:SPLATTSTOESSER, SILVIA FRANCESCA (ACMHC)
Entity Type:Individual
Prefix:
First Name:SILVIA FRANCESCA
Middle Name:
Last Name:SPLATTSTOESSER
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:FRANCESCA
Other - Last Name:SPLATTSTOESSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACMHC
Mailing Address - Street 1:1361 N 1075 W STE 14
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-2876
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1361 N 1075 W
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2750
Practice Address - Country:US
Practice Address - Phone:385-316-7127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13403166-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health