Organization
PERSEPHANIE SILVERTHORN PHD LICENSED CLINICAL PSYCHOLOGIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERSEPHANIE SILVERTHORN PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(985) 661-8400
Entity
Organization
Contact information
Practice address
887 HAILEY AVE, SLIDELL, LA 70458-4437
(985) 661-8400
(985) 643-7454
Mailing address
887 HAILEY AVE, SLIDELL, LA 70458-4437
(985) 661-8400
(985) 643-7454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
868
LA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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