Provider Demographics
NPI:1063292720
Name:SILBERSTEIN, RONIT (MA)
Entity type:Individual
Prefix:
First Name:RONIT
Middle Name:
Last Name:SILBERSTEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RONI
Other - Middle Name:
Other - Last Name:SILBERSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:13825 CUMPSTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5819
Mailing Address - Country:US
Mailing Address - Phone:818-635-0069
Mailing Address - Fax:
Practice Address - Street 1:11710 SAN VICENTE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5006
Practice Address - Country:US
Practice Address - Phone:855-651-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT131799106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist