Doctor Name: | MR. PAUL MICHAEL SIVERT |
NPI Number: | 1306951728 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC0127 |
Business Practice Address: | 8600 Foundry St Ste 214 Box 2011 Savage, MD - 207639512 |
Business Phone Number: | 3013622221 |
Business Fax Number: | 3013621013 |
Mailing Address: | 10806 Reisterstown Rd, Ste 1-b OWINGS MILLS |
State: | MD |
Postal Code: | 211172700 |
Phone Number: | 4109989132 |
Fax Number: | 4109024678 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC0127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |