Provider Demographics
NPI:1932842853
Name:SILVA, DANIEL L (PSYD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:SILVA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 WESTAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3585
Mailing Address - Country:US
Mailing Address - Phone:310-895-8210
Mailing Address - Fax:
Practice Address - Street 1:517 WESTAIRE BLVD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3585
Practice Address - Country:US
Practice Address - Phone:310-895-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32047103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical