Provider Demographics
NPI:1811284037
Name:BERMAN, ALICE JOYCE (LPC)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:JOYCE
Last Name:BERMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 DONORA CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4563
Mailing Address - Country:US
Mailing Address - Phone:804-270-3085
Mailing Address - Fax:
Practice Address - Street 1:1609 DONORA CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4563
Practice Address - Country:US
Practice Address - Phone:804-270-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003329101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional