Healthcare Provider Details

I. General information

NPI: 1962499095
Provider Name (Legal Business Name): FREDERICK W. SILVER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PIONEER SUITE 200
PUYALLUP WA
98372-3255
US

IV. Provider business mailing address

400 E PIONEER SUITE 202
PUYALLUP WA
98372-3255
US

V. Phone/Fax

Practice location:
  • Phone: 253-223-6367
  • Fax:
Mailing address:
  • Phone: 253-223-6367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00000866
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPY00000866
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: