Provider Demographics
NPI:1730130162
Name:SILEN, RICK H (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:H
Last Name:SILEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 LORA LINDA
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-9362
Mailing Address - Country:US
Mailing Address - Phone:812-944-9874
Mailing Address - Fax:
Practice Address - Street 1:4216 LORA LINDA
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9362
Practice Address - Country:US
Practice Address - Phone:812-944-9874
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040618103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN731020Medicare ID - Type UnspecifiedPSYCHOLOGIST