Provider Demographics
NPI:1881924439
Name:SMITH, ANABELA DASILVA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANABELA
Middle Name:DASILVA
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:ANABELA
Other - Middle Name:LOPES
Other - Last Name:DASILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156 SIDNEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1031
Mailing Address - Country:US
Mailing Address - Phone:860-233-7145
Mailing Address - Fax:
Practice Address - Street 1:100 DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-4252
Practice Address - Country:US
Practice Address - Phone:860-714-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003002103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist