Provider Demographics
NPI:1194873893
Name:BERKMAN, JULIA (PHD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BERKMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 HILLSIDE AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1200
Mailing Address - Country:US
Mailing Address - Phone:781-444-4780
Mailing Address - Fax:
Practice Address - Street 1:475 HILLSIDE AVE STE 10
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1200
Practice Address - Country:US
Practice Address - Phone:781-444-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8632103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical