| Brandon Bergman, Phd, Llc | |
| 
					1180 Beacon St Ste 4b Brookline MA 02446-3806  | |
| (978) 558-0644 | |
| Not Available | 
| Full Name | Brandon Bergman, Phd, Llc | 
|---|---|
| Speciality | Psychologist | 
| Location | 1180 Beacon St Ste 4b, Brookline, Massachusetts | 
| Authorized Official Name and Position | Brandon Bergman (LICENSED PSYCHOLOGIST) | 
| Authorized Official Contact | 9785580644 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brandon Bergman, Phd, Llc 1530 Beacon St Apt 902 Brookline MA 02446-2645 Ph: () -  | Brandon Bergman, Phd, Llc 1180 Beacon St Ste 4b Brookline MA 02446-3806 Ph: (978) 558-0644  | 
| NPI Number | 1245701580 | 
|---|---|
| Provider Enumeration Date | 12/16/2018 | 
| Last Update Date | 12/16/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245701580 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary | 
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