Basic Information
Provider Information
NPI: 1033250477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARBER
FirstName: SILVIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LMFT 49862
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 2500 WILSHIRE BLVD STE 500
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900574310
CountryCode: US
TelephoneNumber: 2136390232
FaxNumber: 2133652813
Practice Location
Address1: 2080 S E ST
Address2:  
City: SAN BERNARDINO
State: CA
PostalCode: 924082773
CountryCode: US
TelephoneNumber: 9095103791
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2007
LastUpdateDate: 09/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X49862CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
101YM0800X55306CAN Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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