Provider Demographics
NPI:1487303863
Name:SILIVERDIS, CHRISTYNE M (MS, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTYNE
Middle Name:M
Last Name:SILIVERDIS
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:CHRISTYNE
Other - Middle Name:M
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:503 WASHINGTON AVE STE 2B-4
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2153
Mailing Address - Country:US
Mailing Address - Phone:609-915-3318
Mailing Address - Fax:
Practice Address - Street 1:503 E WASHINGTON AVE
Practice Address - Street 2:SUITE 2B-4
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:267-832-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty