Provider Demographics
NPI:1730477415
Name:SILITSKY, DANIEL (PHD, EDS, CHT,)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SILITSKY
Suffix:
Gender:M
Credentials:PHD, EDS, CHT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 VAN HISE CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3439
Mailing Address - Country:US
Mailing Address - Phone:732-718-3535
Mailing Address - Fax:732-698-0335
Practice Address - Street 1:197 ROUTE 18
Practice Address - Street 2:SUITE 235
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1440
Practice Address - Country:US
Practice Address - Phone:732-718-3535
Practice Address - Fax:732-698-0335
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6180055101YP2500X
NJ37FI00124400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6180055OtherPROFESSIONAL
NJ37FI00124400OtherNJ LICENSED MARRIAGE AND FAMILY THERAPIST
NJ0300-072447OtherCERTIFIED HYPNOTHERAPIST