Individual
MADISON BERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-5995
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(202) 476-5995
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY1000342
DC
103TB0200X
Cognitive & Behavioral Psychologist
PSY1000342
DC
103TC0700X
Clinical Psychologist
PSY1000342
DC
Other
Enumeration date
10/05/2006
Last updated
11/21/2012
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