Provider Demographics
NPI:1780769034
Name:KAPLAN-SILVERMAN, PHYLLIS (EDD)
Entity type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:
Last Name:KAPLAN-SILVERMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CEDAR ST STE 58
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6362
Mailing Address - Country:US
Mailing Address - Phone:781-938-5954
Mailing Address - Fax:781-938-7152
Practice Address - Street 1:8 CEDAR ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6361
Practice Address - Country:US
Practice Address - Phone:781-938-5954
Practice Address - Fax:781-938-7152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2102103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02348Medicare ID - Type Unspecified