Organization
MICHAEL E. BERGER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BERGER PHD, LP (LICENSED PSYCHOLOGIST)
(952) 929-2276
Entity
Organization
Contact information
Practice address
5353 GAMBLE DR, SUITE 160, ST LOUIS PARK, MN 55416-1509
(952) 929-2276
(952) 929-8576
Mailing address
5353 GAMBLE DR, SUITE 160, ST LOUIS PARK, MN 55416-1509
(952) 929-2276
(952) 929-8576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1910
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431547200
—
MN
Enumeration date
01/03/2007
Last updated
06/26/2014
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