MEDICARE: MRS. SUZANNE SILVERSTEIN MA, ATR

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053652693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUZANNE SILVERSTEIN MA, ATR

Provider Business Mailing Address
First Line	:	6500 WILSHIRE BLVD
Second Line	:	11 FLOOR 1128
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4920
Country	:	US
Telephone Number	:	310-423-3541
Fax Number	:	310-423-1081

Provider Business Practice Location Address
First Line	:	6500 WILSHIRE BLVD
Second Line	:	11 FLOOR 1128
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4920
Country	:	US
Telephone Number	:	310-423-3541
Fax Number	:	310-423-1081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	03/06/2013

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