Provider Demographics
NPI:1639138878
Name:SILVER, PAMELA (PSYD)
Entity Type:Individual
Prefix:
First Name:PAMELA
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 1:1745 E HALLANDALE BEACH BLVD UNIT 506
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4663
Mailing Address - Country:US
Mailing Address - Phone:954-494-8424
Mailing Address - Fax:866-381-7584
Practice Address - Street 1:419 KINGSTON AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3127
Practice Address - Country:US
Practice Address - Phone:347-770-4032
Practice Address - Fax:718-691-6897
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X
FLPY4932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty