Individual
DR. KRISTIN NICOLE BERTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Mailing address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35SI00615100
NJ
103TC1900X
Counseling Psychologist
PS018093
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700291
—
NJ
01
—
854181
MEDICARE
NJ
Enumeration date
08/04/2016
Last updated
02/05/2024
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