| Jason S Berman, Phd, Pllc | |
|
1721 W Plano Pkwy Ste 107 Plano TX 75075-8633 | |
| (214) 929-9244 | |
| (972) 364-9095 |
| Full Name | Jason S Berman, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1721 W Plano Pkwy Ste 107, Plano, Texas |
| Authorized Official Name and Position | Jason S Berman (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2149299244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason S Berman, Phd, Pllc 1721 W Plano Pkwy Ste 107 Plano TX 75075-8633 Ph: (214) 929-9244 | Jason S Berman, Phd, Pllc 1721 W Plano Pkwy Ste 107 Plano TX 75075-8633 Ph: (214) 929-9244 |
| NPI Number | 1194041301 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 6305071598 |
|---|---|
| Medicare Enrollment ID | O20131023002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194041301 | NPI | - | NPPES |
| 34212 | Other | TX | TEXAS BOARD OF EXAMINERS OF PSYCHOLOGY |
| 11987351 | Other | CAQH |
| Provider Name | Jason S Berman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427294115 PECOS PAC ID: 4981752094 Enrollment ID: I20090429000489 |
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