Doctor Name: | ROBERT Y. BERLIN |
NPI Number: | 1508073065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2180 |
Business Practice Address: | 3 H St Nantucket, MA - 025541909 |
Business Phone Number: | 7817363720 |
Business Fax Number: | 7817363731 |
Mailing Address: | Po Box 555, LINCOLN |
State: | MA |
Postal Code: | 017730555 |
Phone Number: | 7817363720 |
Fax Number: | 7817363731 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |