Provider Demographics
NPI:1932541240
Name:DASILVA, DAMIAN J (MS)
Entity Type:Individual
Prefix:MR
First Name:DAMIAN
Middle Name:J
Last Name:DASILVA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MARCIA DR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-5810
Mailing Address - Country:US
Mailing Address - Phone:860-618-5826
Mailing Address - Fax:
Practice Address - Street 1:36 MARCIA DR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5810
Practice Address - Country:US
Practice Address - Phone:860-618-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist