Berman, Lisa Myra

Berman, Lisa Myra is an individual health care provider with primary practice located at 1503 Santa Rosa Rd , Richmond VA 23229. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berman, Lisa Myra can be contacted via phone (804) 282-9100.

Contact Information

Primary practice address
1503 Santa Rosa Rd Richmond VA 23229
Phone: (804) 282-9100
Fax: (804) 282-3266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001667 Virginia

Profile Details

NPI number 1447368139
LBN Legal business name Berman, Lisa Myra
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1447368139 NPPES
Virginia MEDICAID 7710026

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