Provider Demographics
NPI:1609995026
Name:SILVA, MARTA TERESA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:TERESA
Last Name:SILVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WOODMONT RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3312
Mailing Address - Country:US
Mailing Address - Phone:516-241-0458
Mailing Address - Fax:
Practice Address - Street 1:2100 DEER PARK AVE
Practice Address - Street 2:STE 7
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2119
Practice Address - Country:US
Practice Address - Phone:516-241-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist