Provider Demographics
NPI:1386951663
Name:BERMAN, HOLLY CAREN
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:CAREN
Last Name:BERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 ROSEHIP RD
Mailing Address - Street 2:
Mailing Address - City:EASTSOUND
Mailing Address - State:WA
Mailing Address - Zip Code:98245-8957
Mailing Address - Country:US
Mailing Address - Phone:360-376-4700
Mailing Address - Fax:
Practice Address - Street 1:6522 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5358
Practice Address - Country:US
Practice Address - Phone:360-376-4700
Practice Address - Fax:206-299-4449
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002889171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist