Provider Demographics
NPI:1972831477
Name:SILVA JONES, CLARISSA (MS)
Entity type:Individual
Prefix:
First Name:CLARISSA
Middle Name:
Last Name:SILVA JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CLARISSA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2582 KINGHORN PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-8795
Mailing Address - Country:US
Mailing Address - Phone:702-614-4239
Mailing Address - Fax:
Practice Address - Street 1:2920 N GREEN VALLEY PKWY
Practice Address - Street 2:BLDG 3 SUITE 321
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0406
Practice Address - Country:US
Practice Address - Phone:800-675-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV288237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist