MEDICARE: DR. LYNETTE ABRAMS-SILVA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071008750	IL
2	103G00000X	Clinical Neuropsychologist	PSY1461	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326446881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNETTE ABRAMS-SILVA PH.D.

Provider Business Mailing Address
First Line	:	800 BRADBURY DR SE STE 116
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4310
Country	:	US
Telephone Number	:	505-272-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 CENTRAL AVE SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-2805
Country	:	US
Telephone Number	:	505-243-0335
Fax Number	:	505-216-2623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	11/25/2024

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