Individual
MICHELLE A SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 DIXWELL AVENUE, NEW HAVEN, CT 06511
(203) 503-6345
(203) 503-3451
Mailing address
228 DIXWELL AVENUE, NEW HAVEN, CT 06511
(203) 503-6345
(203) 503-3451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002806
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
08/06/2009
Last updated
08/06/2009
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