Provider Demographics
NPI:1821673328
Name:RICHMAN, SAMMY (PHD, LCP)
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8895 N MILITARY TRL STE 202B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6284
Mailing Address - Country:US
Mailing Address - Phone:917-855-2799
Mailing Address - Fax:561-828-9305
Practice Address - Street 1:8895 N MILITARY TRL STE 202B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6284
Practice Address - Country:US
Practice Address - Phone:917-855-2799
Practice Address - Fax:561-828-9305
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NY013661103TC0700X
NH1649103TC0700X
FLPY12220103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist