MEDICARE: DR. LYDIA KALSNER-SILVER ED.D.

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	103TC0700X	Clinical Psychologist	PY6376	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54877	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1295951747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYDIA KALSNER-SILVER ED.D.

Provider Business Mailing Address
First Line	:	5151 COLLINS AVENUE, SUITE 233
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140
Country	:	US
Telephone Number	:	305-301-4264
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 COLLINS AVE
Second Line	:	SUITE 223
City	:	MIAMI
State	:	FL
Zip	:	33140-2737
Country	:	US
Telephone Number	:	305-866-3579
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/16/2015

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Directions to “ DR. LYDIA KALSNER-SILVER ED.D.” Practice Location

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