Mark G Berger is a Clinical in Portsmouth, Virginia. Mark G Berger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark G Berger is 1649265943. The last update date is 2007-07-08.
Mark G Berger's current location address is 3300 Academy Ave, Portsmouth, Virginia. You can contact this provider via phone number 7574836404 and fax number 7574830737. The mailing address for Mark G Berger is 3300 Academy Ave, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Berger |
|---|---|
| Address | 3300 Academy Ave, Portsmouth, Virginia |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1649265943 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3300 Academy Ave |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237033205 |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810000978 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q80700 | VA | SENTARA | |
| 27831 | VA | ANTHEM |
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What is the unique identifier code issued to Mark G Berger by the Centers for Medicare & Medicaid Services?
The Mark G Berger has been assigned the NPI (National Provider Identifier) 1649265943. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark G Berger?
The Mark G Berger is situated at 3300 Academy Ave, in the city of Portsmouth, state of VA, with the zip code 237033205.
What is the Mark G Berger's specialty and taxonomy code?
The Mark G Berger's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649265943 to Mark G Berger?
The Mark G Berger received its 1649265943 assignment from the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date were the details pertaining to Mark G Berger last refreshed?
The information related to the Mark G Berger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.