Provider Demographics
NPI:1447316526
Name:BERMAN, PAUL C (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:BERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5017
Mailing Address - Country:US
Mailing Address - Phone:410-337-8191
Mailing Address - Fax:410-337-8192
Practice Address - Street 1:22 W PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5017
Practice Address - Country:US
Practice Address - Phone:410-337-8191
Practice Address - Fax:410-337-8192
Is Sole Proprietor?:No
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical