Provider Demographics
NPI:1316019755
Name:BERMAN, CYNTHIA JOY II (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JOY
Last Name:BERMAN
Suffix:II
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 MASSACHUSETTS AVE
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3309
Mailing Address - Country:US
Mailing Address - Phone:617-492-3539
Mailing Address - Fax:
Practice Address - Street 1:675 MASSACHUSETTS AVE
Practice Address - Street 2:11TH FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3309
Practice Address - Country:US
Practice Address - Phone:617-492-3539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6848103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical