Healthcare Provider Details

I. General information

NPI: 1568454742
Provider Name (Legal Business Name): DAVID H SILVERMAN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BAYSHORE HWY STE 335
BURLINGAME CA
94010-1514
US

IV. Provider business mailing address

1601 BAYSHORE HWY STE 335
BURLINGAME CA
94010-1514
US

V. Phone/Fax

Practice location:
  • Phone: 650-259-9026
  • Fax: 650-259-9065
Mailing address:
  • Phone: 650-259-9026
  • Fax: 650-259-9065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY11552
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: