Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PS-007762-L | PA |
N | 103TC0700X | Clinical Psychologist | PS-007762-L | PA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS-007762-L | PA |
NPI | 1033228606 |
---|---|
Provider Name | Dr. Susan Gail Berman |
First Address | Pittsburgh, PA 15217-1236 |
Second Address | Pittsburgh, PA 15238-3131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |