Provider Demographics
NPI:1174826259
Name:AMAR, SILVANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SILVANA
Middle Name:
Last Name:AMAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:SILVANA
Other - Middle Name:
Other - Last Name:VUCETAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA/LPC
Mailing Address - Street 1:96 SHERMAN PLACE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307
Mailing Address - Country:US
Mailing Address - Phone:201-234-9490
Mailing Address - Fax:201-946-7715
Practice Address - Street 1:96 SHERMAN PLACE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307
Practice Address - Country:US
Practice Address - Phone:201-234-9490
Practice Address - Fax:201-946-7715
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00289300101YP2500X
NJ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00289300OtherSTATE LICENSE NUMBER