Individual
BETH ADRIAN BERGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
(910) 484-5781
Mailing address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
(910) 484-5781
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
434
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131CT
BCBS
NC
05
—
6105083
—
NC
01
—
A0122
MEDCOST
NC
Enumeration date
03/05/2007
Last updated
09/07/2007
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