Provider Demographics
NPI:1922874650
Name:SILVERSTEIN, MICHAEL JACOB (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JACOB
Last Name:SILVERSTEIN
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 1:300 BALA AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1348
Mailing Address - Country:US
Mailing Address - Phone:484-557-9122
Mailing Address - Fax:
Practice Address - Street 1:300 BALA AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1348
Practice Address - Country:US
Practice Address - Phone:484-557-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist