Healthcare Provider Details
I. General information
NPI: 1407975295
Provider Name (Legal Business Name): BARBARA ALTER SILBERT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4801 W PETERSON AVE SUITE 301
CHICAGO IL
60646-5713
US
IV. Provider business mailing address
2005 WASHINGTON AVE
WILMETTE IL
60091-2370
US
V. Phone/Fax
- Phone: 847-604-2830
- Fax: 773-202-1410
- Phone: 847-256-7917
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: