Provider Demographics
NPI:1982403788
Name:SILBERMAN, JESOHAIA
Entity type:Individual
Prefix:
First Name:JESOHAIA
Middle Name:
Last Name:SILBERMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JESOHAIA
Other - Middle Name:
Other - Last Name:SILBERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3821 TWIG LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-5387
Mailing Address - Country:US
Mailing Address - Phone:909-232-9436
Mailing Address - Fax:
Practice Address - Street 1:1070 WIGWAM PKWY STE 130
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8193
Practice Address - Country:US
Practice Address - Phone:909-232-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling