Dr. Ellen Raynes Berman
Clinical Psychologist
123 Macgregor Dr
Stamford
, Connecticut 06902-1409
Dr. Ellen Raynes Berman
Clinical Psychologist
123 Macgregor Dr
Stamford
, Connecticut 06902-1409
(203) 973-0181
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Ellen Raynes Berman
- 123 Macgregor Dr
- Stamford, CT
- Zip : 06902-1409
- Phone : (203) 973-0181
Second Address
- Dr. Ellen Raynes Berman
- 123 Macgregor Dr
- Stamford, CT
- Zip : 06902-1409
- Phone : (203) 961-8818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 001716 | CT |
| Y | 103TC0700X | Clinical Psychologist | 001716 | CT |
| N | 103G00000X | Clinical Psychologist | 009609-1 | NY |
| N | 103TC0700X | Clinical Psychologist | 009609-1 | NY |
National Provider Identifier
| NPI | 1013073147 |
|---|---|
| Provider Name | Dr. Ellen Raynes Berman |
| First Address | Stamford, CT 06902-1409 |
| Second Address | Stamford, CT 06902-1409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.