Basic Information
| Provider Information | |||||||||
| NPI: | 1679848881 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVA | ||||||||
| FirstName: | BRYAN | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 391 MICHIGAN AVE NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200171516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182665327 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8901 NEW HAMPSHIRE AVE | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209033611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014225436 | ||||||||
| FaxNumber: | 3014225416 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2012 | ||||||||
| LastUpdateDate: | 03/21/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFT 33922 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.