National Provider Identifier
Michelle Berliss, PHD
Michelle Berliss, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Watkins Glen, NY and a listed phone number of (607) 535-8282.
Profile Overview
- NPI
- 1629098983
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 106 S Perry St
- Ste 4
- Watkins Glen, NY 14891-1615
Phone: (607) 535-8282
Mailing Address
- 22 Graycliff Dr
- Elmira, NY 14903-7971
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1629098983
- Entity Type
- Individual
- Last Name
- Berliss
- First Name
- Michelle
- Credential
- PHD
- Mailing Street Address
- 22 Graycliff Dr
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14903-7971
- Mailing Country
- US
- Practice Street Address
- 106 S Perry St
- Practice Address Line 2
- Ste 4
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1615
- Practice Country
- US
- Practice Phone
- (607) 535-8282
- Practice Fax
- (607) 535-8284
- Enumeration Date
- July 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 06800015076LI (NY)