Provider Demographics
NPI:1073819363
Name:SILVERSTEIN, LEONARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 INCA DOVE CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8818
Mailing Address - Country:US
Mailing Address - Phone:239-431-7709
Mailing Address - Fax:239-431-7713
Practice Address - Street 1:4216 INCA DOVE CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8818
Practice Address - Country:US
Practice Address - Phone:239-431-7709
Practice Address - Fax:239-431-7713
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4532103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4532OtherPSYCHOLOGIST