Basic Information
| Provider Information | |||||||||
| NPI: | 1770893901 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASALE | ||||||||
| FirstName: | SILVANA | ||||||||
| MiddleName: | SPINELLI | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 RUSSELL ST | ||||||||
| Address2: | SUITE 30 | ||||||||
| City: | LITTLETON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014601274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786791200 | ||||||||
| FaxNumber: | 9784864037 | ||||||||
| Practice Location | |||||||||
| Address1: | 119 RUSSELL ST | ||||||||
| Address2: | SUITE 30 | ||||||||
| City: | LITTLETON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014601274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786791200 | ||||||||
| FaxNumber: | 9784864037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2010 | ||||||||
| LastUpdateDate: | 10/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 288097 | MA | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling | 103TS0200X | 52359582 | MA | N | Behavioral Health & Social Service Providers | Psychologist | School |
No ID Information.