Healthcare Provider Details

I. General information

NPI: 1609017094
Provider Name (Legal Business Name): DR. LYDIA KALSNER-SILVER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 COLLINS AVE STE 223
MIAMI BEACH FL
33140-2750
US

IV. Provider business mailing address

5151 COLLINS AVE STE 223
MIAMI BEACH FL
33140-2750
US

V. Phone/Fax

Practice location:
  • Phone: 305-866-3579
  • Fax:
Mailing address:
  • Phone: 305-866-3579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LYDIA KALSNER-SILVER
Title or Position: PSYCHOLOGIST
Credential: ED.D.
Phone: 305-866-3579