Provider Demographics
NPI:1376329961
Name:SILVERSTEIN, SHOSHANA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHOSHANA
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17231 NE 11TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2623
Mailing Address - Country:US
Mailing Address - Phone:248-228-7900
Mailing Address - Fax:
Practice Address - Street 1:1210 NE 173RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-1233
Practice Address - Country:US
Practice Address - Phone:305-343-0322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01173000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist