Provider Demographics
NPI:1528319571
Name:SILVA, KRISTY ANN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:ANN
Last Name:SILVA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-2715
Mailing Address - Country:US
Mailing Address - Phone:210-885-9202
Mailing Address - Fax:
Practice Address - Street 1:1816 10TH ST
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-2715
Practice Address - Country:US
Practice Address - Phone:210-885-9202
Practice Address - Fax:210-568-4524
Is Sole Proprietor?:No
Enumeration Date:2012-09-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist