Provider Demographics
NPI:1568539831
Name:SILON, BETTY (PHD)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:SILON
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 1:2520 WATERSIDE DR UNIT 209
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-3024
Mailing Address - Country:US
Mailing Address - Phone:443-995-0472
Mailing Address - Fax:
Practice Address - Street 1:2520 WATERSIDE DR UNIT 209
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-3024
Practice Address - Country:US
Practice Address - Phone:443-995-0472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02988103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM030OtherCARE FIRST BLUE CHOICE
MD0564134OtherAETNA
MDGL36BOtherCARE FIRST BLUE CROSS
MD0004366736OtherAETNA
MD532173OtherCARE FIRST BLUE CROSS
MD532173OtherCARE FIRST BLUE CROSS