Individual
DR. MELVIN R BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2955 SW WANAMAKER DR, TOPEKA, KS 66614-5318
(785) 272-5566
(785) 272-5967
Mailing address
2201 SW 29TH ST, TOPEKA, KS 66611-1975
(785) 230-1981
(785) 272-5967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
494
KS
103TC0700X
Clinical Psychologist
494
KS
103TP0814X
Psychoanalysis Psychologist
494
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119659
BLUE SHIELD OF KS
KS
Enumeration date
08/28/2006
Last updated
01/10/2020
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