Individual
ERIK BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 UNIVERSITY AVE # 2B, BERKELEY, CA 94704
(510) 548-9716
Mailing address
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704-3264
(510) 841-1262
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
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Other
Enumeration date
08/29/2016
Last updated
10/11/2023
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