Basic Information
Provider Information
NPI: 1558035162
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVERMAN
FirstName: ALI
MiddleName: RACHEL
NamePrefix: DR.
NameSuffix:  
Credential: AU.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3801 S KANNER HWY STE 200
Address2:  
City: STUART
State: FL
PostalCode: 349944801
CountryCode: US
TelephoneNumber: 7722232896
FaxNumber:  
Practice Location
Address1: 3801 S KANNER HWY
Address2:  
City: STUART
State: FL
PostalCode: 349944801
CountryCode: US
TelephoneNumber: 7722235945
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2021
LastUpdateDate: 11/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAY2509FLY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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