Healthcare Provider Details

I. General information

NPI: 1508920224
Provider Name (Legal Business Name): LISA MARIA BARRETO-D'SILVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 LINDALL ST
DANVERS MA
01923-2121
US

IV. Provider business mailing address

12 SUNSET DR
SWAMPSCOTT MA
01907-1135
US

V. Phone/Fax

Practice location:
  • Phone: 978-774-4400
  • Fax:
Mailing address:
  • Phone: 781-842-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number222759
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: