Provider Information for 1902522964
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JESSICA SILVERMAN Psy.D.
Sex: Female
NPI: 1902522964
Last Updated: 2023-09-19
Certification Date: 2023-09-19
Certification Date: 2023-09-19
Details
Name | Value | ||||||||||||||
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NPI | 1902522964 | ||||||||||||||
Enumeration Date | 2022-10-12 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 56 LEDGE DR BERLIN, CT 06037-2421 United States Phone: 610-428-0433 | Fax: | ||||||||||||||
Primary Practice Address | 10 TALCOTT NOTCH FARMINGTON, CT 06030 United States Phone: 860-679-6700 | Fax:860-679-6736 | ||||||||||||||
Secondary Practice Address(es) | 360 MAIN ST # 2D 263 FARMINGTON AVENUE | ||||||||||||||
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