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DR. 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC1976
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NC1976

Other Provider Identifiers:

IssuerNumberStateType
VALUE OPTIONS280096 PIN01
UNITED HEALTHCARE61-0049601
GROUPA20624401
BLUE CROSS BLUE SHIELD0334HNC01
MEDCOSTB523201
AETNA577707101
MAGALLEN0774001
Code values:
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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