Individual
JENNIFER MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
23370 ROAD 22, CHOWCHILLA, CA 93610-8504
(559) 665-5531
Mailing address
5266 N COLONIAL AVE APT A, FRESNO, CA 93704-2337
(559) 665-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY32857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY32857
CA CLINICAL PSYCHOLOGIST LICENSE
CA
Enumeration date
02/24/2023
Last updated
03/28/2023
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