Provider Demographics
NPI:1023227295
Name:SILBERTRUST, DEA C (PHD)
Entity type:Individual
Prefix:
First Name:DEA
Middle Name:C
Last Name:SILBERTRUST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 CONESTOGA RD BLDG 3
Mailing Address - Street 2:SUITE 313
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:610-667-5328
Mailing Address - Fax:
Practice Address - Street 1:919 CONESTOGA RD BLDG 3
Practice Address - Street 2:SUITE 313
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:610-667-5328
Practice Address - Fax:610-667-5419
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007454L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical