Provider Demographics
NPI:1043454275
Name:ELAINE F. SILBERMAN, PH.D, PSY.D. A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:ELAINE F. SILBERMAN, PH.D, PSY.D. A PSYCHOLOGICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SILBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PSYD
Authorized Official - Phone:323-664-8240
Mailing Address - Street 1:1800 SILVERWOOD TERRACE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1452
Mailing Address - Country:US
Mailing Address - Phone:323-644-8240
Mailing Address - Fax:323-644-8240
Practice Address - Street 1:1800 SILVERWOOD TERRACE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1452
Practice Address - Country:US
Practice Address - Phone:323-644-8240
Practice Address - Fax:323-644-8240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13381103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty