Provider Demographics
NPI:1407508237
Name:SILVER, DANIELLE OSWALD
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:OSWALD
Last Name:SILVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ELLER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-7804
Mailing Address - Country:US
Mailing Address - Phone:828-361-7162
Mailing Address - Fax:
Practice Address - Street 1:1847 RIVERSIDE RIDGE DR
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-4767
Practice Address - Country:US
Practice Address - Phone:706-514-6250
Practice Address - Fax:706-995-6827
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-22-57560103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst