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General NPI Number Information
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NPI Number | 1720754500
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Entity Type | Organization
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Legal Business Name | SANDRA DE SILVA, PH.D. & ASSOCIATES
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 23564 CALABASAS RD STE 208
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City | CALABASAS
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State | CA
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Zip | 91302-1339
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Country | US
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Telephone | 310-916-6549
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Fax |
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Provider Business Mailing Address
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Address Line | 4960 RIGOLETTO ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2817
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Country | US
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Telephone | 103-948-5098
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SANDRA DE SILVA
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Credential | PH.D.
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Telephone | 310-916-6549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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