Provider Demographics
NPI:1134666555
Name:MONA H BERMAN MA, LTD
Entity Type:Organization
Organization Name:MONA H BERMAN MA, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-604-1848
Mailing Address - Street 1:550 W FRONTAGE RD
Mailing Address - Street 2:SUITE 2797
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1202
Mailing Address - Country:US
Mailing Address - Phone:847-604-1848
Mailing Address - Fax:847-291-0887
Practice Address - Street 1:550 W FRONTAGE RD
Practice Address - Street 2:SUITE 2797
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1202
Practice Address - Country:US
Practice Address - Phone:847-604-1848
Practice Address - Fax:847-291-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty