MEDICARE: CATHRYN SILVER

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1972528511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHRYN SILVER

Provider Business Mailing Address
First Line	:	3100 W LAKE ST
Second Line	:	SUITE
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-4527
Country	:	US
Telephone Number	:	612-925-6033
Fax Number	:	612-925-8496

Provider Business Practice Location Address
First Line	:	3100 W LAKE ST
Second Line	:	SUITE
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-4527
Country	:	US
Telephone Number	:	612-925-6033
Fax Number	:	612-925-8496

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/13/2012

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Directions to “ CATHRYN SILVER ” Practice Location

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