Provider Demographics
NPI:1679715718
Name:SILVER, ANNE-CHARLOTTE (MS-LMFT)
Entity type:Individual
Prefix:MRS
First Name:ANNE-CHARLOTTE
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:MS-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:CT
Mailing Address - Zip Code:06763-0038
Mailing Address - Country:US
Mailing Address - Phone:860-567-8651
Mailing Address - Fax:860-567-8651
Practice Address - Street 1:165 BANTAM LAKE RD
Practice Address - Street 2:POB38
Practice Address - City:MORRIS
Practice Address - State:CT
Practice Address - Zip Code:06763-1202
Practice Address - Country:US
Practice Address - Phone:860-567-8651
Practice Address - Fax:860-567-8651
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist