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NPI Code Detail

MEDICARE: DR. MARIA TERESA SILVA PSYD

MEDICARE: DR. MARIA TERESA SILVA PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY004319GA

General Provider Information

NPI Number : 1497303648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA TERESA SILVA PSYD
Provider Business Mailing Address
First Line : 3520 PIEDMONT RD NE STE 350
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1582
Country : US
Telephone Number : 404-351-2008
Fax Number :
Provider Business Practice Location Address
First Line : 3520 PIEDMONT RD NE STE 330
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1552
Country : US
Telephone Number : 404-351-2008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2019
Last Update Date : 01/14/2020

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