Individual
DR. ELAINE SANDRA BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD PSYCHOLOGIST
Contact information
Practice address
1712 LAGO VISTA BLVD, PALM HARBOR, FL 34685-3348
(727) 784-8392
(727) 784-8392
Mailing address
1712 LAGO VISTA BLVD, PALM HARBOR, FL 34685-3348
(727) 784-8392
(727) 784-8392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3990
OH
103TC0700X
Clinical Psychologist
Primary
PY6951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31124508300
BWC
—
Enumeration date
12/08/2006
Last updated
02/03/2010
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