| Doctor Name: | MARY SILVESTROS |
| NPI Number: | 1164812525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | |
| Business Practice Address: | 1200 Ashwood Dr Suite 1201 Canonsburg, PA - 153174982 |
| Business Phone Number: | 7248840466 |
| Business Fax Number: | 7248840467 |
| Mailing Address: | 1200 Ashwood Dr, Suite 1201 CANONSBURG |
| State: | PA |
| Postal Code: | 153174982 |
| Phone Number: | 7248840466 |
| Fax Number: | 7248840467 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 10/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |