Individual
SHARON L. SILVERMAN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6293
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
205716
MA
2084P0800X
Psychiatry Physician
MD10192
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD10192
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
15-55156
UNITED BEHAVIORAL HEALTH
RI
01
—
30045-6
BLUE CROSS
RI
01
—
409611
BLUE CHIP
RI
05
—
7009877
—
RI
Enumeration date
05/02/2006
Last updated
05/16/2008
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