Individual
LAURIE ELLEN BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1925 S BROAD ST, LANSDALE, PA 19446-5547
(215) 661-9213
Mailing address
1925 S BROAD ST, LANSDALE, PA 19446-5547
(215) 661-9213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005742L
PA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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