Individual
DIANA BERAN
Active
Individual
DIANA BERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112M2BE
BCBS
MN
01
—
129786
UCARE
MN
01
—
170155000
MN CARE
MN
01
—
41-1546550
BHP
MN
01
—
62-41762
UBH
MN
01
—
HP30456
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
02/13/2012
Update your record
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