Provider Demographics
NPI:1609182948
Name:BERMAN, HEIDI (PHD, MFCC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:PHD, MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26081 MERIT CIR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7017
Mailing Address - Country:US
Mailing Address - Phone:949-716-5150
Mailing Address - Fax:949-716-5151
Practice Address - Street 1:26081 MERIT CIR
Practice Address - Street 2:SUITE 120
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7017
Practice Address - Country:US
Practice Address - Phone:949-716-5150
Practice Address - Fax:949-716-5151
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21381106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist