Provider Demographics
NPI:1447553581
Name:DA SILVA, MANUEL PERRIERA
Entity type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:PERRIERA
Last Name:DA SILVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1144
Mailing Address - Country:US
Mailing Address - Phone:978-866-8095
Mailing Address - Fax:
Practice Address - Street 1:141 JOHN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1144
Practice Address - Country:US
Practice Address - Phone:978-866-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor