Healthcare Provider Details
I. General information
NPI: 1346438132
Provider Name (Legal Business Name): ERIN C TOWLE-SILVA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/05/2007
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 TER HEUN DR
FALMOUTH MA
02540-2525
US
IV. Provider business mailing address
51 DUNCAN DR
NORWELL MA
02061-2043
US
V. Phone/Fax
- Phone: 508-540-6550
- Fax: 508-540-7480
- Phone: 781-987-1446
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 9088 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: