Provider Demographics
NPI:1972794527
Name:BIRKLEIN, SILVIA B (PHD, MA, LCAT, CMA)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:B
Last Name:BIRKLEIN
Suffix:
Gender:F
Credentials:PHD, MA, LCAT, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 BROADWAY
Mailing Address - Street 2:FL 8, #12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6004
Mailing Address - Country:US
Mailing Address - Phone:917-496-5772
Mailing Address - Fax:
Practice Address - Street 1:920 BROADWAY
Practice Address - Street 2:FL 8, #12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6004
Practice Address - Country:US
Practice Address - Phone:917-496-5772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017252103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical