Provider Demographics
NPI:1225138506
Name:SILVERMAN, BATYA LEVY (MASTERS DEGREE MA LM)
Entity Type:Individual
Prefix:MS
First Name:BATYA
Middle Name:LEVY
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MASTERS DEGREE MA LM
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:LEVY
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1305 POST RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6016
Mailing Address - Country:US
Mailing Address - Phone:203-367-6651
Mailing Address - Fax:203-256-1605
Practice Address - Street 1:1305 POST RD
Practice Address - Street 2:SUITE 205
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6016
Practice Address - Country:US
Practice Address - Phone:203-367-6651
Practice Address - Fax:203-256-1605
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTMFT000567106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
410000567CT02OtherANTHEM PIN
P505354OtherOXFORD PIN
0005100622OtherAETNA PIN
077189OtherVALUE OPTIONS PIN
175226OtherMHN PIN