Edwin Bercaw, PH.D.

Clinical Psychologist · Brandon, FL

Individual Active NPI

NPI number 1871820233

Practice location

710 Oakfield Dr Ste 153
Brandon, FL 33511-4954
Phone
(813) 603-7635
Fax
(813) 501-1186

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NPI record

NPI
1871820233
Entity type
Individual (Type 1)
Enumeration date
November 5, 2009
Last updated
March 24, 2021
Certified
March 24, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY7991 FL
Clinical Neuropsychologist 103G00000X PY7991 FL

Mailing address

3818 67TH Ter E
Sarasota, FL 34243-4009
Phone
(941) 225-5309

Other practice locations (2)

  • 3818 67th Ter E, Sarasota, FL 34243-4009 · (941) 225-5309
  • 1601 Rickenbacker Dr Ste 3, Sun City Center, FL 33573-5332 · (813) 603-7635

About Dr. Bercaw

Edwin Bercaw, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 710 Oakfield Dr Ste 153, Brandon, FL 33511-4954. The NPI number 1871820233 was assigned on November 5, 2009 and the record was last updated on March 24, 2021.

Dr. Bercaw lists 2 licenses in the registry: #PY7991 (FL) for Clinical Psychologist; #PY7991 (FL) for Clinical Neuropsychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Bercaw, PH.D.?

The NPI number is 1871820233.

What is the phone number of Dr. Bercaw?

The phone number listed for the practice location is (813) 603-7635.

Where is Dr. Bercaw located?

710 Oakfield Dr Ste 153, Brandon, FL 33511-4954.

What is the taxonomy code for Dr. Bercaw?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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