Individual
DR. MARIA FERNANDA DASILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
905 CONSTANCE LN, PORT JEFFERSON STATION, NY 11776-4269
(631) 848-8415
Mailing address
905 CONSTANCE LN, PORT JEFFERSON STATION, NY 11776-4269
(631) 848-8415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014558-01
NY
103TB0200X
Cognitive & Behavioral Psychologist
014558-01
NY
103TS0200X
School Psychologist
014558-01
NY
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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