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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Mark Elliot Berman | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Mark | [sources] | |||
| Last name | Berman | [sources] | |||
| Middle name | Elliot | [sources] | |||
| NPI | 1235144072 | [sources] | |||
| Registration number | PF0096980 · PSY 9698 · PSY096980 · PSY096981 | [sources] | |||
| Sector | Psychologist | [sources] | |||
| Address | 40413 Alabar Drive, Palmdale, CA 93551 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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