Provider Demographics
NPI:1487369435
Name:CONNECTIVE COUNSELING AND EDUCATIONAL SUPPORTS
Entity type:Organization
Organization Name:CONNECTIVE COUNSELING AND EDUCATIONAL SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-697-3715
Mailing Address - Street 1:53 BRIDGES LN
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2221
Mailing Address - Country:US
Mailing Address - Phone:978-697-3715
Mailing Address - Fax:
Practice Address - Street 1:53 BRIDGES LN
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2221
Practice Address - Country:US
Practice Address - Phone:978-697-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty