Provider Demographics
NPI:1578586475
Name:SILVERMAN, PHILIP J (PHD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:J
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WASHINGTON CIR NW
Mailing Address - Street 2:#206
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2356
Mailing Address - Country:US
Mailing Address - Phone:202-822-0078
Mailing Address - Fax:202-872-8142
Practice Address - Street 1:3 WASHINGTON CIR NW
Practice Address - Street 2:#206
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2356
Practice Address - Country:US
Practice Address - Phone:202-822-0078
Practice Address - Fax:202-872-8142
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY534103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
192627Medicare ID - Type Unspecified