Healthcare Provider Details

I. General information

NPI: 1295963288
Provider Name (Legal Business Name): DELIA MARIA SILVA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 10/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE. STE 245
SAN DIEGO CA
92101
US

IV. Provider business mailing address

1901 1ST AVE. STE 245
SAN DIEGO CA
92101
US

V. Phone/Fax

Practice location:
  • Phone: 858-964-0722
  • Fax: 866-437-0375
Mailing address:
  • Phone: 858-964-0722
  • Fax: 866-437-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY22738
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY22738
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY22738
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPSY22738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: