Provider Demographics
NPI:1780789123
Name:SILVERMAN, JUDITH ABEITA (MA, MFT)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ABEITA
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19456 DORADO DR
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-1613
Mailing Address - Country:US
Mailing Address - Phone:949-589-2249
Mailing Address - Fax:949-589-2844
Practice Address - Street 1:19456 DORADO DR
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-1613
Practice Address - Country:US
Practice Address - Phone:949-589-2249
Practice Address - Fax:949-589-2844
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 18698106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist