Berman, Elaine Sandra

Berman, Elaine Sandra is an sole proprietor health care provider with primary practice located at 1712 Lago Vista Blvd , Palm Harbor FL 34685-3348. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berman, Elaine Sandra can be contacted via phone (727) 784-8392.

Contact Information

Primary practice address
1712 Lago Vista Blvd Palm Harbor FL 34685-3348
Fax: (727) 784-8392
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3990 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6951 Florida

Profile Details

NPI number 1497815864
LBN Legal business name Berman, Elaine Sandra
Credentials EDD PSYCHOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Feb 3rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497815864 NPPES
Other 31124508300 BWC

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