Individual
PATRICE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7 HAVILAND ST, BOSTON, MA 02115-2683
(617) 267-0900
(617) 267-3667
Mailing address
7 HAVILAND ST, BOSTON, MA 02115-2683
(617) 267-0900
(617) 267-3667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1027205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303546
—
MA
Enumeration date
11/06/2006
Last updated
07/09/2007
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