Provider Demographics
NPI:1114366598
Name:SILVERMAN, JOEL (BC-HIS)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TURNER LN
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5606
Mailing Address - Country:US
Mailing Address - Phone:703-470-8760
Mailing Address - Fax:301-214-2236
Practice Address - Street 1:5618 SHIELDS DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3532
Practice Address - Country:US
Practice Address - Phone:301-214-2424
Practice Address - Fax:301-214-2236
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02633237700000X
VA2101001176237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist