Provider Demographics
NPI:1861277345
Name:BERMAN, LIZBETH FAY (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LIZBETH
Middle Name:FAY
Last Name:BERMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 N PALM DR APT 406
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-3906
Mailing Address - Country:US
Mailing Address - Phone:310-717-6464
Mailing Address - Fax:
Practice Address - Street 1:428 N PALM DR APT 406
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-3906
Practice Address - Country:US
Practice Address - Phone:310-717-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist