Provider Demographics
NPI:1790733061
Name:SILVERMAN, CYNTHIA L (MA, FAAA)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:L
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MA, FAAA
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:A
Other - Last Name:LACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 PENNY LN
Mailing Address - Street 2:
Mailing Address - City:NEW FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:17349-9500
Mailing Address - Country:US
Mailing Address - Phone:717-235-8996
Mailing Address - Fax:
Practice Address - Street 1:1776 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4628
Practice Address - Country:US
Practice Address - Phone:717-845-6321
Practice Address - Fax:717-845-6320
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000202-L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAT-000202-LOtherPA STATE LICENSE
PA001837484 0001Medicaid
PA045567Medicare ID - Type Unspecified
PAAT-000202-LOtherPA STATE LICENSE