MEDICARE: MARIA CRISTINA SILVA PSY.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103T00000X	Psychologist	PY11475	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619281151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CRISTINA SILVA PSY.D.

Provider Business Mailing Address
First Line	:	2187 BARRACUDA AVE
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-2909
Country	:	US
Telephone Number	:	770-851-0357
Fax Number	:

Provider Business Practice Location Address
First Line	:	2187 BARRACUDA AVE
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-2909
Country	:	US
Telephone Number	:	770-851-0357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	09/20/2022

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