Individual
DR. JASON S BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1721 W PLANO PKWY STE 107, PLANO, TX 75075-8633
(214) 929-9244
(214) 929-9244
Mailing address
1721 W PLANO PKWY STE 107, PLANO, TX 75075-8633
(214) 929-9244
(214) 929-9244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34212
TX
103TP2701X
Group Psychotherapy Psychologist
34212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11987351
CAQH
—
01
—
34212
LICENSE
TX
Enumeration date
12/30/2008
Last updated
01/25/2022
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