Individual
DR. ELLEN RAYNES BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
123 MACGREGOR DR, STAMFORD, CT 06902-1409
(203) 961-8818
Mailing address
123 MACGREGOR DR, STAMFORD, CT 06902-1409
(203) 973-0181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001716
CT
103TC0700X
Clinical Psychologist
009609-1
NY
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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