Individual
MS. LETICIA MELANIE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MLP
Contact information
Practice address
25217 PARKWOOD DR, HUNTINGTON WOODS, MI 48070-1739
(248) 436-4940
Mailing address
28475 GREENFIELD RD STE 113-1312, SOUTHFIELD, MI 48076-3034
(818) 530-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6352000543
MI
103T00000X
Psychologist
Primary
6361007814
MI
Other
Enumeration date
08/19/2019
Last updated
07/08/2025
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