Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. RICHARD A BERG PH.D.
Clinical Neuropsychologist
Wilmington, North Carolina
Provider NPI: 1114948817
Provider Information:DR. RICHARD A BERG PH.D.
Gender: M
Sole Proprietor
Practice Location:
5010 RANDALL PKWY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Business Mailing Address:
5010 RANDALL PKWY WILMINGTON, NC 28403 US
Tel: 910-791-5719 Fax: 910-799-8180
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 1976 |
| N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | NC | 1976 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GROUP | A206244 | 01 | |
| BLUE CROSS BLUE SHIELD | 0334H | NC | 01 |
| MAGALLEN | 07740 | 01 | |
| AETNA | 5777071 | 01 | |
| MEDCOST | B5232 | 01 | |
| VALUE OPTIONS | 280096 PIN | 01 | |
| UNITED HEALTHCARE | 61-00496 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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