MEDICARE: ELAINE F. SILBERMAN, PH.D, PSY.D. A PSYCHOLOGICAL CORPORATION

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
1	103T00000X	Psychologist	PSY13381	CA

General Provider Information

NPI Number	:	1043454275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELAINE F. SILBERMAN, PH.D, PSY.D. A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	1800 SILVERWOOD TERRACE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1452
Country	:	US
Telephone Number	:	323-644-8240
Fax Number	:	323-644-8240

Provider Business Practice Location Address
First Line	:	1800 SILVERWOOD TERRACE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1452
Country	:	US
Telephone Number	:	323-644-8240
Fax Number	:	323-644-8240

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELAINE F. SILBERMAN
Credential	:	PH.D, PSY.D
Telephone Number	:	323-664-8240

Provider Enumeration Date	:	05/01/2009
Last Update Date	:	05/01/2009

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