Provider Demographics
NPI:1629495551
Name:SILVERMAN, TRICIA (RD, LDN, MBA)
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:RD, LDN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N HILL AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1221
Mailing Address - Country:US
Mailing Address - Phone:508-612-0416
Mailing Address - Fax:781-881-0460
Practice Address - Street 1:11 N HILL AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1221
Practice Address - Country:US
Practice Address - Phone:781-449-1468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MANU 1495133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered