Provider Demographics
NPI:1346797503
Name:SILVER, MARSHA (SP 4241)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:SP 4241
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BAY RD
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-1728
Mailing Address - Country:US
Mailing Address - Phone:650-799-1346
Mailing Address - Fax:
Practice Address - Street 1:21 BAY RD
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1728
Practice Address - Country:US
Practice Address - Phone:650-799-1346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP4241235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist