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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386651842 NPPES
California MEDICAID PSY096981

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