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General NPI Number Information
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NPI Number | 1194041301
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Entity Type | Organization
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Legal Business Name | JASON S BERMAN, PHD, PLLC
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1475 RICHARDSON DR STE 230
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City | RICHARDSON
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State | TX
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Zip | 75080-4659
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Country | US
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Telephone | 214-929-9244
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 RICHARDSON DR STE 230
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City | RICHARDSON
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State | TX
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Zip | 75080-4659
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Country | US
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Telephone | 214-929-9244
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. JASON S BERMAN
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Credential | PH.D
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Telephone | 214-929-9244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1945
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2011006684
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34212
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License Number State | TX
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