Individual
JUDITH CLAIRE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1015 CHESTNUT ST, STE 901, PHILADELPHIA, PA 19107-4309
(215) 592-0139
(215) 592-1675
Mailing address
1015 CHESTNUT ST, STE 901, PHILADELPHIA, PA 19107-4309
(215) 592-0139
(215) 592-1675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS001774L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043755000
INDEPENDENCE BLUE CROSS
PA
01
—
2101414
CIGNA
—
01
—
5599676
AETNA
—
01
—
NG6821
EMPIRE BLUE CROSS
—
Enumeration date
03/23/2007
Last updated
07/08/2007
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