Provider Demographics
NPI:1053652693
Name:SILVERSTEIN, SUZANNE (MA, ATR)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 WILSHIRE BLVD
Mailing Address - Street 2:11 FLOOR 1128
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4920
Mailing Address - Country:US
Mailing Address - Phone:310-423-3541
Mailing Address - Fax:310-423-1081
Practice Address - Street 1:6500 WILSHIRE BLVD
Practice Address - Street 2:11 FLOOR 1128
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4920
Practice Address - Country:US
Practice Address - Phone:310-423-3541
Practice Address - Fax:310-423-1081
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health