Provider Demographics
NPI:1467467266
Name:LINDA BERLIN PSY D & PSYCHOLOGICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:LINDA BERLIN PSY D & PSYCHOLOGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-227-2700
Mailing Address - Street 1:1725 N UNIVERSITY DR
Mailing Address - Street 2:SUITE # 350
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071
Mailing Address - Country:US
Mailing Address - Phone:954-227-2700
Mailing Address - Fax:957-227-2704
Practice Address - Street 1:1725 N UNIVERSITY DR
Practice Address - Street 2:SUITE # 350
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-227-2700
Practice Address - Fax:957-227-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1643Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER