Provider Demographics
NPI:1184819872
Name:SILVER, SUSAN KIRSHENBAUM (PHD , MA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KIRSHENBAUM
Last Name:SILVER
Suffix:
Gender:F
Credentials:PHD , MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6072 S OURAY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5002
Mailing Address - Country:US
Mailing Address - Phone:303-888-5280
Mailing Address - Fax:
Practice Address - Street 1:6072 S OURAY ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5002
Practice Address - Country:US
Practice Address - Phone:303-888-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY 3461103TC1900X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical