Provider Demographics
NPI:1205969078
Name:SILVERMAN, ALICE HERSHEY (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:HERSHEY
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819
Mailing Address - Country:US
Mailing Address - Phone:802-748-9867
Mailing Address - Fax:802-748-8985
Practice Address - Street 1:407 SPRING ST
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819
Practice Address - Country:US
Practice Address - Phone:802-748-9867
Practice Address - Fax:802-748-8985
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT04200086062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
00018717OtherBCBS VT OUT OF NETWORK
P002Y3829OtherRAILROAD MEDICARE
VTOVN0510Medicaid
P002Y3829OtherRAILROAD MEDICARE
VN0510Medicare ID - Type Unspecified