NPI 1417043753 · live from the CMS NPI Registry
Madison Berl, PhD
Clinical Neuropsychologist in Washington, DC. National Provider Identifier 1417043753, active.
NPI record
| NPI | 1417043753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 111 Michigan Ave Nw, Washington, DC 20010 |
| Practice phone | 202-884-5995 |
| Mailing address | Po Box 37215, Baltimore, MD 21297 |
| Enumerated | October 5, 2006 |
| Last updated | November 21, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Cognitive & Behavioral | 103TB0200X | PSY1000342 (DC) |
| Clinical Neuropsychologist primary | 103G00000X | PSY1000342 (DC) |
| Psychologist, Clinical | 103TC0700X | PSY1000342 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.