Berman, Mark Elliot
Berman, Mark Elliot is an sole proprietor health care provider with primary practice located at 40413 Alabur Drive , Palmdale CA 93551-1117. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berman, Mark Elliot can be contacted via phone (661) 722-2987.Contact Information
Primary practice address
40413 Alabur Drive
Palmdale CA 93551-1117
Phone: (661) 722-2987
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY9698 | California |
Profile Details
NPI number | 1386651842 |
---|---|
LBN Legal business name | Berman, Mark Elliot |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2006 |
Last updated | May 11th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386651842 | NPPES |
California | MEDICAID | PSY096981 |
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