Berman, Ellen Raynes

Berman, Ellen Raynes is an sole proprietor health care provider with primary practice located at 123 Macgregor Dr , Stamford CT 06902-1409. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berman, Ellen Raynes can be contacted via phone (203) 961-8818.

Contact Information

Primary practice address
123 Macgregor Dr Stamford CT 06902-1409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001716 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009609-1 New York

Profile Details

NPI number 1013073147
LBN Legal business name Berman, Ellen Raynes
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers