Provider Demographics
NPI:1659940815
Name:SILVERWOOD, KATHERINE (MS, MFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SILVERWOOD
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-0454
Mailing Address - Country:US
Mailing Address - Phone:608-301-5376
Mailing Address - Fax:
Practice Address - Street 1:1001 ARBORETUM DR STE 110
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-2670
Practice Address - Country:US
Practice Address - Phone:608-886-9023
Practice Address - Fax:608-200-2417
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100172598Medicaid