Healthcare Provider Details

I. General information

NPI: 1316841950
Provider Name (Legal Business Name): STEPHANIE SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 CROW CANYON PL STE 300
SAN RAMON CA
94583-1386
US

IV. Provider business mailing address

1278 DONAHUE CT
PLEASANTON CA
94566-3442
US

V. Phone/Fax

Practice location:
  • Phone: 925-552-5500
  • Fax:
Mailing address:
  • Phone: 925-596-3929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number260170668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: