Provider Demographics
NPI:1578836763
Name:SILVER, AMY JEAN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEAN
Last Name:SILVER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 THEODORE FREMD
Mailing Address - Street 2:RYE CITY SCHOOL DISTRICT
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580
Mailing Address - Country:US
Mailing Address - Phone:914-967-6100
Mailing Address - Fax:
Practice Address - Street 1:411 THEODORE FREMD
Practice Address - Street 2:RYE CITY SCHOOL DISTRICT
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580
Practice Address - Country:US
Practice Address - Phone:914-967-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004712-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist