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DR. KATHRYN BERK PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639267016

Individual Registrant:
DR. KATHRYN  BERK PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
147 DURHAM RD STE 13A MADISON, CT 06443-2675 US
Tel: 802-318-5068  Fax: --

Contact information for business:
PO BOX 864  MADISON, CT 06443-0864 US
Tel: 802-318-5068  Fax: --

Registration Information:
NPI: 1639267016
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
VT675
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
CT003632

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1005668VT05




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