Provider Demographics
NPI:1770779787
Name:SILBERMAN, ALLEN (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:SILBERMAN
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 CHESTER PIKE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:EDDYSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1375
Mailing Address - Country:US
Mailing Address - Phone:610-521-6063
Mailing Address - Fax:610-521-0163
Practice Address - Street 1:1510 CHESTER PIKE
Practice Address - Street 2:SUITE 130
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1375
Practice Address - Country:US
Practice Address - Phone:610-521-6063
Practice Address - Fax:610-521-0163
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004694101YP2500X
DEPC0000453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA137528P4RMedicare PIN