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NPI Code Detail

MEDICARE: AMANDA ROSE SILVER PSYD

MEDICARE: AMANDA ROSE SILVER PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist24871CA

General Provider Information

NPI Number : 1043404999
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ROSE SILVER PSYD
Provider Business Mailing Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8400
Fax Number :
Provider Business Practice Location Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2007
Last Update Date : 10/04/2018

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Directions to “ AMANDA ROSE SILVER PSYD” Practice Location

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