Provider Demographics
NPI:1528841244
Name:BERMAN-BRODSKY, SONYA MAYA (PSYD)
Entity type:Individual
Prefix:MS
First Name:SONYA
Middle Name:MAYA
Last Name:BERMAN-BRODSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 OLD YORK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2034
Mailing Address - Country:US
Mailing Address - Phone:215-350-7508
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD YORK RD STE 101
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2034
Practice Address - Country:US
Practice Address - Phone:215-394-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty