Individual
SAMANTHA SILVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
(703) 228-6065
Mailing address
4300 OLD DOMINION DR APT 512, ARLINGTON, VA 22207-3225
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0605481
VA
2255A2300X
Athletic Trainer
PPS-0605481
VA
Other
Enumeration date
05/16/2018
Last updated
03/03/2019
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