Provider Demographics
NPI:1508085374
Name:SILVERMAN, MARY ALICE C (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY ALICE
Middle Name:C
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 WISCONSIN AVE NW STE 440
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2079
Mailing Address - Country:US
Mailing Address - Phone:202-603-6346
Mailing Address - Fax:
Practice Address - Street 1:5335 WISCONSIN AVE NW STE 440
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2079
Practice Address - Country:US
Practice Address - Phone:202-603-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY10000386103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical