Provider Demographics
NPI:1275667214
Name:SILVERMAN, JOEL FRANK (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:FRANK
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 PEARL ST STE 220
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5061
Mailing Address - Country:US
Mailing Address - Phone:303-440-7674
Mailing Address - Fax:303-449-9564
Practice Address - Street 1:767 PEARL ST STE 220
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5061
Practice Address - Country:US
Practice Address - Phone:303-440-7674
Practice Address - Fax:303-449-9564
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional