Provider Demographics
NPI:1649507963
Name:ARENAS, SILVERIO (PHD)
Entity type:Individual
Prefix:DR
First Name:SILVERIO
Middle Name:
Last Name:ARENAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 MONTE VISTA PL
Mailing Address - Street 2:PO BOX 306
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-8982
Mailing Address - Country:US
Mailing Address - Phone:360-661-6126
Mailing Address - Fax:360-428-3670
Practice Address - Street 1:4716 MONTE VISTA PL # 360
Practice Address - Street 2:MOUNT VERNONN
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-8982
Practice Address - Country:US
Practice Address - Phone:360-661-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPSY 1591103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical