Individual
MRS. NICOLE S BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1190 WINTERSON RD STE 160, LINTHICUM, MD 21090-2245
(410) 684-3806
Mailing address
2722 WOODCOURT RD, BALTIMORE, MD 21209-2522
(954) 296-1838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0832
MARYLAND BOARD OF EXAMINERS OF PSYCHOLOGISTS
MD
Enumeration date
09/29/2022
Last updated
09/29/2022
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