Individual
DR. LISA MYRA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1503 SANTA ROSA RD, RICHMOND, VA 23229
(804) 282-9100
(804) 282-3266
Mailing address
1503 SANTA ROSA RD, RICHMOND, VA 23229
(804) 282-9100
(804) 282-3266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001667
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7710026
—
VA
Enumeration date
08/25/2006
Last updated
07/08/2007
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