Individual
LAURA QUEIROZ DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDM CERTIFIED
Contact information
Practice address
850 N 22ND ST APT 3R, PHILADELPHIA, PA 19130-1457
(516) 712-5714
Mailing address
850 N 22ND ST APT 3R, PHILADELPHIA, PA 19130-1457
(516) 712-5714
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1517937211
NY
103TS0200X
School Psychologist
Primary
2758609
PA
Other
Enumeration date
06/29/2022
Last updated
07/06/2022
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