| Doctor Name: | DR. STEPHEN MARC SILLING |
| NPI Number: | 1104155118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 3261 |
| Business Practice Address: | 267 W Garwood Dr Tallmadge, OH - 442781329 |
| Business Phone Number: | 3306200405 |
| Business Fax Number: | 3309725679 |
| Mailing Address: | 267 W Garwood Dr, TALLMADGE |
| State: | OH |
| Postal Code: | 442781329 |
| Phone Number: | 3306200405 |
| Fax Number: | 3309725679 |
| NPI Enumeration Date: | 12/22/2009 |
| NPI Last Update Date: | 12/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 3261 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |