Provider Demographics
NPI:1346976206
Name:SILVERT, LEA WHIDBEY (MA)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:WHIDBEY
Last Name:SILVERT
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 MAIN ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1400
Mailing Address - Country:US
Mailing Address - Phone:203-909-1965
Mailing Address - Fax:
Practice Address - Street 1:950 MAIN STREET
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610
Practice Address - Country:US
Practice Address - Phone:203-909-1965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program