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Individual
STEPHEN JOHN BERGER
Active
Individual
STEPHEN JOHN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008599L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS008599L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017638180002
—
PA
01
—
467613
VALUE OPTIONS
PA
01
—
481729
HIGHMARK BLUE SHIELD
PA
01
—
809366
FIRST PRIORITY HEALTH
PA
01
—
R34049
HEALTHAMERICA
PA
Enumeration date
04/03/2006
Last updated
08/26/2013
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