Provider Demographics
NPI:1700954427
Name:SILVERMAN, RICKEY B (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:RICKEY
Middle Name:B
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VILLAGE GREEN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-5209
Mailing Address - Country:US
Mailing Address - Phone:603-382-4741
Mailing Address - Fax:603-329-6421
Practice Address - Street 1:2 VILLAGE GREEN RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-5209
Practice Address - Country:US
Practice Address - Phone:603-382-4741
Practice Address - Fax:603-329-6421
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH244103T00000X
RIPS00226103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80622260Medicaid
NH2260Medicare ID - Type Unspecified
NH80622260Medicaid