Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | PC004586 | PA |
NPI | 1003084765 |
---|---|
Provider Name | Mr. David Joel Silbermann |
First Address | Philadelphia, PA 19152-3038 |
Second Address | Philadelphia, PA 19152-3038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 15/02/2008 |