Provider Demographics
NPI:1164991998
Name:REBECCA SILVER, PH.D., LCP, LLC
Entity Type:Organization
Organization Name:REBECCA SILVER, PH.D., LCP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-826-9656
Mailing Address - Street 1:3600 ROLAND AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2437
Mailing Address - Country:US
Mailing Address - Phone:443-826-9656
Mailing Address - Fax:
Practice Address - Street 1:3600 ROLAND AVE STE 4
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2437
Practice Address - Country:US
Practice Address - Phone:443-826-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-22
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1568877058OtherNPI - INDIVIDUAL