Individual
DR. PHYLLIS ANN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7301 FOREST AVE, SUITE 201, RICHMOND, VA 23226-3792
(804) 285-4121
(804) 285-4123
Mailing address
7301 FOREST AVE, SUITE 201, RICHMOND, VA 23226-3792
(804) 285-4121
(804) 285-4123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77-1466-1
—
VA
Enumeration date
08/08/2006
Last updated
07/08/2007
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