Individual
MARCIE ANNE BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1509 UPLAND AVE, JENKINTOWN, PA 19046-2306
(215) 886-8233
Mailing address
1509 UPLAND AVE, JENKINTOWN, PA 19046-2306
(215) 886-8233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 00 3993-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS 00 3993-L
STATE PSYCHOLOGY LICENSE
PA
Enumeration date
02/15/2007
Last updated
07/08/2007
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