Provider Demographics
NPI:1114229861
Name:SILVERMAN, TOBY ROSLYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TOBY
Middle Name:ROSLYN
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 HEMLOCK FARMS
Mailing Address - Street 2:
Mailing Address - City:LORDS VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-9203
Mailing Address - Country:US
Mailing Address - Phone:570-775-7275
Mailing Address - Fax:
Practice Address - Street 1:1611 HEMLOCK FARMS
Practice Address - Street 2:
Practice Address - City:LORDS VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-9203
Practice Address - Country:US
Practice Address - Phone:570-775-7275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016899103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical