Provider Demographics
NPI:1033251053
Name:SILVERBERG, RUTH R (MHC, MFT)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:R
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:MHC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-8248
Mailing Address - Country:US
Mailing Address - Phone:845-364-5510
Mailing Address - Fax:845-364-5523
Practice Address - Street 1:441 ROUTE 306
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1233
Practice Address - Country:US
Practice Address - Phone:845-364-5510
Practice Address - Fax:845-364-5523
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003070101YM0800X
CAMFT33964106H00000X
NY000519106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist