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STEPHEN JOHN BERGER PSY.D.
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1831151224
Individual Registrant: STEPHEN JOHN BERGER PSY.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679 Fax: 909-425-6635
Tel: 909-425-7679 Fax: 909-425-6635
Contact information for business:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679 Fax: 909-425-6635
Tel: 909-425-7679 Fax: 909-425-6635
Registration Information:
NPI: 1831151224
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | PA | PS008599L |
| N | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | PA | PS008599L |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HEALTHAMERICA | R34049 | PA | 01 |
| 0017638180002 | PA | 05 | |
| VALUE OPTIONS | 467613 | PA | 01 |
| HIGHMARK BLUE SHIELD | 481729 | PA | 01 |
| FIRST PRIORITY HEALTH | 809366 | PA | 01 |
