Provider Demographics
NPI:1518069046
Name:SILVER, WENDY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 S UNIVERSITY DR
Mailing Address - Street 2:STE 219
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3837
Mailing Address - Country:US
Mailing Address - Phone:954-806-0959
Mailing Address - Fax:954-680-6191
Practice Address - Street 1:4801 S UNIVERSITY DR
Practice Address - Street 2:STE 219
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3837
Practice Address - Country:US
Practice Address - Phone:954-806-0959
Practice Address - Fax:954-680-6191
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical