Provider Demographics
NPI:1043579352
Name:BEHREND, SILVIA R (D MIN)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:R
Last Name:BEHREND
Suffix:
Gender:F
Credentials:D MIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 WEST BAY DR NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4668
Mailing Address - Country:US
Mailing Address - Phone:360-943-9591
Mailing Address - Fax:
Practice Address - Street 1:1107 WEST BAY DR NW
Practice Address - Street 2:SUITE102
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4668
Practice Address - Country:US
Practice Address - Phone:360-943-9591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral