MEDICARE: FRANCES M BERMAN PSY D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY0005247	FL

General Provider Information

NPI Number	:	1912155615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCES M BERMAN PSY D

Provider Business Mailing Address
First Line	:	4302 ALTON RD STE 960
Second Line	:	MOUNT SINAI MEDICAL CENTER
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2890
Country	:	US
Telephone Number	:	305-673-0797
Fax Number	:	305-531-8982

Provider Business Practice Location Address
First Line	:	4302 ALTON RD STE 960
Second Line	:	MOUNT SINAI MEDICAL CENTER
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2890
Country	:	US
Telephone Number	:	305-673-0797
Fax Number	:	305-531-8982

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANCES M BERMAN
Credential	:	PSY D
Telephone Number	:	305-785-5940

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	03/20/2009

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