MEDICARE: MS. MARIA MILLER SILVERT LMFT

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	106H00000X	Marriage & Family Therapist	MFC43400	CA

General Provider Information

NPI Number	:	1760511885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA MILLER SILVERT LMFT

Provider Business Mailing Address
First Line	:	1171 CAMELIA ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-1039
Country	:	US
Telephone Number	:	510-857-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 SOLANO AVE APT 3A
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1842
Country	:	US
Telephone Number	:	510-857-3388
Fax Number	:

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	04/22/2024

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