Berman, Jason S
Berman, Jason S is an sole proprietor health care provider with primary practice located at 1721 W Plano Pkwy Ste 107 , Plano TX 75075-8633. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Berman, Jason S can be contacted via phone (214) 929-9244.Contact Information
Primary practice address
1721 W Plano Pkwy Ste 107
Plano TX 75075-8633
Phone: (214) 929-9244
Fax: (214) 929-9244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 34212 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 34212 | Texas |
Profile Details
| NPI number | 1427294115 |
|---|---|
| LBN Legal business name | Berman, Jason S |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2008 |
| Last updated | Jan 25th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427294115 | NPPES |
| Other | 11987351 | CAQH | |
| Other | 34212 | CAQH |
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