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Individual

ERIK BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1530 5TH ST, BERKELEY, CA 94710-1713
(510) 679-1002
Mailing address
1530 5TH ST, BERKELEY, CA 94710-1713
(510) 679-1002

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34205
CA
390200000X
Student in an Organized Health Care Education/Training Program
D1204909
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/29/2016
Last updated
07/01/2026
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