Provider Demographics
NPI:1699454165
Name:SILVA, ANYSSA MARIE (SLPA)
Entity type:Individual
Prefix:
First Name:ANYSSA
Middle Name:MARIE
Last Name:SILVA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-9997
Mailing Address - Country:US
Mailing Address - Phone:956-648-6042
Mailing Address - Fax:
Practice Address - Street 1:2101 RIO GRANDE ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-5574
Practice Address - Country:US
Practice Address - Phone:956-648-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant