Provider Demographics
NPI:1609031145
Name:BERMAN, PAULA (MA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 HINCHEY LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-3334
Mailing Address - Country:US
Mailing Address - Phone:508-567-6592
Mailing Address - Fax:
Practice Address - Street 1:789 STEVENS RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4711
Practice Address - Country:US
Practice Address - Phone:508-672-6560
Practice Address - Fax:508-672-6595
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251S00000X101YM0800X
MA424223103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health