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NPI Code Detail

MEDICARE: JANICE SANDRA BERMAN PH.D.

MEDICARE: JANICE SANDRA BERMAN PH.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
1103TC0700XClinical Psychologist6773MA
2103TC2200XClinical Child & Adolescent Psychologist6773MA

General Provider Information

NPI Number : 1831189323
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE SANDRA BERMAN PH.D.
Provider Business Mailing Address
First Line : 9 DAMONMILL SQ
Second Line : SUITE 4A-1
City : CONCORD
State : MA
Zip : 01742-2858
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9 DAMONMILL SQ
Second Line : SUITE 4A-1
City : CONCORD
State : MA
Zip : 01742-2858
Country : US
Telephone Number : 978-201-6065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 09/11/2025

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