MEDICARE: DR. WENDY SILVER PSY.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	PY 5147	FL

General Provider Information

NPI Number	:	1518069046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY SILVER PSY.D.

Provider Business Mailing Address
First Line	:	4801 S UNIVERSITY DR
Second Line	:	STE 219
City	:	DAVIE
State	:	FL
Zip	:	33328-3837
Country	:	US
Telephone Number	:	954-806-0959
Fax Number	:	954-680-6191

Provider Business Practice Location Address
First Line	:	4801 S UNIVERSITY DR
Second Line	:	STE 219
City	:	DAVIE
State	:	FL
Zip	:	33328-3837
Country	:	US
Telephone Number	:	954-806-0959
Fax Number	:	954-680-6191

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

Provider Enumeration Date	:	09/04/2006
Last Update Date	:	09/17/2020

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