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STEPHEN JOHN BERGER PSY.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831151224

Individual Registrant:
 STEPHEN JOHN BERGER PSY.D.
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

Contact information for business:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679  Fax: 909-425-6635

Registration Information:
NPI: 1831151224
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
PAPS008599L
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
PAPS008599L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HEALTHAMERICAR34049PA01
0017638180002PA05
VALUE OPTIONS467613PA01
HIGHMARK BLUE SHIELD481729PA01
FIRST PRIORITY HEALTH809366PA01




HEALTH CARE JOBS CA - Page 1



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