Doctor Name: | MR. STEPHEN DAVID BERMAN |
NPI Number: | 1053363358 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | CW013310 |
Business Practice Address: | 7305 N Military Trl Riviera Beach, FL - 334107417 |
Business Phone Number: | 5614228262 |
Business Fax Number: | |
Mailing Address: | 3664 Alder Dr, Apt F-1 WEST PALM BEACH |
State: | FL |
Postal Code: | 334171143 |
Phone Number: | 5613890791 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW013310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |