Provider Demographics
NPI:1114163508
Name:SILVER, MERRYL (MS/SLP/CCC)
Entity Type:Individual
Prefix:MS
First Name:MERRYL
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:MS/SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6513
Mailing Address - Country:US
Mailing Address - Phone:718-531-5611
Mailing Address - Fax:
Practice Address - Street 1:2441 E 71ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6513
Practice Address - Country:US
Practice Address - Phone:718-531-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015081-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist