MEDICARE: DR. MADISON SILVERSTEIN PHD

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	1558	LA

General Provider Information

NPI Number	:	1891441408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADISON SILVERSTEIN PHD

Provider Business Mailing Address
First Line	:	2738 GENERAL PERSHING ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2738 GENERAL PERSHING ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6226
Country	:	US
Telephone Number	:	504-207-1525
Fax Number	:

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

Provider Enumeration Date	:	02/23/2022
Last Update Date	:	02/23/2022

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