Provider Demographics
NPI:1053550913
Name:SILVER, MARCI JAN (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:MARCI
Middle Name:JAN
Last Name:SILVER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 S END AVE
Mailing Address - Street 2:APARTMENT 31P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1026
Mailing Address - Country:US
Mailing Address - Phone:917-843-2252
Mailing Address - Fax:
Practice Address - Street 1:395 S END AVE
Practice Address - Street 2:APARTMENT 31P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1026
Practice Address - Country:US
Practice Address - Phone:917-843-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015192235Z00000X
CT003564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist