Individual
LISA M. SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 553-0627
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 553-0627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810008177
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2016
Last updated
07/29/2024
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