Individual
LAURA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
621 ISLINGTON ST, APT E, PORTSMOUTH, NH 03801-7239
(603) 724-4643
Mailing address
621 ISLINGTON ST, APT E, PORTSMOUTH, NH 03801-7239
(603) 724-4643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW 219634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y001491NH03
ANTHEM
—
Enumeration date
09/05/2007
Last updated
02/16/2014
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