Provider Demographics
NPI:1376682328
Name:BERMAN, DEANNA HOPE (ND,CM)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:HOPE
Last Name:BERMAN
Suffix:
Gender:F
Credentials:ND,CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 RACHEL CARSON WAY
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-8402
Mailing Address - Country:US
Mailing Address - Phone:607-351-7808
Mailing Address - Fax:844-478-9726
Practice Address - Street 1:206 RACHEL CARSON WAY
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-8402
Practice Address - Country:US
Practice Address - Phone:607-351-7808
Practice Address - Fax:844-478-9726
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0099621175F00000X
NYCM00195176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175F00000XOther Service ProvidersNaturopath