Provider Demographics
NPI:1992512156
Name:SILBIGER, KATHRYN (PSYD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:SILBIGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 EL CAMINO REAL STE 120
Mailing Address - Street 2:#1175
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4884
Mailing Address - Country:US
Mailing Address - Phone:404-538-5380
Mailing Address - Fax:
Practice Address - Street 1:700 EL CAMINO REAL STE 120
Practice Address - Street 2:#1175
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4884
Practice Address - Country:US
Practice Address - Phone:404-538-5380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35209103TC0700X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy