Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY5396 | CA |
NPI | 1053518761 |
---|---|
Provider Name | Dr. Stanley Jay Silverstein |
First Address | Huntington Beach, CA 92649-4659 |
Second Address | Fountain Valley, CA 92708-4733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 08/07/2007 |