Provider Demographics
NPI:1831262666
Name:SILVERMAN, DEBORA ALYSON (MS, LAC)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:ALYSON
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77383
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-0383
Mailing Address - Country:US
Mailing Address - Phone:415-882-9988
Mailing Address - Fax:415-882-9988
Practice Address - Street 1:728 BRYANT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1015
Practice Address - Country:US
Practice Address - Phone:415-882-9988
Practice Address - Fax:415-882-9988
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10789171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist