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General NPI Number Information
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NPI Number | 1952539025
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Entity Type | Organization
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Legal Business Name | BETH M. BERMAN PSY.D. PC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 425 W HURON ST SUITE 210
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City | MILFORD
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State | MI
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Zip | 48381-2242
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Country | US
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Telephone | 248-505-8324
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Fax | 248-926-2012
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Provider Business Mailing Address
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Address Line | 7112 BRANFORD CT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1083
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Country | US
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Telephone | 248-505-8324
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Fax | 248-926-2012
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Authorized Official
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Title or Position | PRESEIDENT
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Name | DR. BETH M BERMAN
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Credential | PSY.D.
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Telephone | 248-505-8324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301010600
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License Number State | MI
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