Doctor Name: | DR. STANLEY JAY SILVERSTEIN |
NPI Number: | 1053518761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY5396 |
Business Practice Address: | 10101 Slater Ave Suite 237 Fountain Valley, CA - 927084733 |
Business Phone Number: | 7142934857 |
Business Fax Number: | |
Mailing Address: | 5901 Warner Ave, #142 HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926494659 |
Phone Number: | 7142934857 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PSY5396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |