Provider Demographics
NPI:1215049531
Name:SILVER, MARGERY H (EDD)
Entity type:Individual
Prefix:
First Name:MARGERY
Middle Name:H
Last Name:SILVER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85B SEMINARY AVE
Mailing Address - Street 2:#144
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2628
Mailing Address - Country:US
Mailing Address - Phone:617-964-9880
Mailing Address - Fax:617-964-9880
Practice Address - Street 1:85B SEMINARY AVE
Practice Address - Street 2:#144
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2628
Practice Address - Country:US
Practice Address - Phone:617-964-9880
Practice Address - Fax:617-964-9880
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3546103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3546OtherPSYCHOLOGY LICENSE
MA052-3151Medicaid
MA052-3151Medicaid