Individual
DR. BRUCE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
211 W 56TH ST, SUITE 34D, NEW YORK, NY 10019-4312
(212) 265-3594
(212) 265-3597
Mailing address
211 W 56TH ST, SUITE 34D, NEW YORK, NY 10019-4312
(212) 265-3594
(212) 265-3597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00921935
—
NY
Enumeration date
11/18/2005
Last updated
07/08/2007
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