Provider Demographics
NPI:1861558090
Name:SILVERMAN, JOSEPH L (PHD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1499
Mailing Address - Country:US
Mailing Address - Phone:413-585-0548
Mailing Address - Fax:413-585-0648
Practice Address - Street 1:25 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1408
Practice Address - Country:US
Practice Address - Phone:413-584-4352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7265103TC1900X
MA305880103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW50293Medicare ID - Type Unspecified