Individual
PATRICIA S SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9675B MAIN STREET, FAIRFAX, VA 22031
(703) 277-1030
Mailing address
9306 CONVENTO TERRACE, FAIRFAX, VA 22031
(703) 691-4836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178821
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
02/08/2007
Last updated
07/08/2007
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