Provider Demographics
NPI:1114685229
Name:SILVERSTEIN, MARSHA (PH D)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2702 DANA ST.
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1136
Mailing Address - Country:US
Mailing Address - Phone:510-841-3252
Mailing Address - Fax:
Practice Address - Street 1:2702 DANA ST.
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1136
Practice Address - Country:US
Practice Address - Phone:510-841-3252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12164103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist