Individual
DR. KELLY C BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
(612) 804-2120
Mailing address
5925 EWING AVE S, EDINA, MN 55410-2737
(612) 804-2120
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5595
MN
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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