Provider Demographics
NPI:1982197349
Name:SILVER, JOAN M (LMFT)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:SILVER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 W VUELTA FRISO
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8672
Mailing Address - Country:US
Mailing Address - Phone:818-371-7463
Mailing Address - Fax:
Practice Address - Street 1:170 N LA CANADA DR STE 30C
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-3139
Practice Address - Country:US
Practice Address - Phone:520-398-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-10221106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist