Individual
DR. THERESA ANN BERGHERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
357 WHITNEY AVE, SUITE 204, NEW HAVEN, CT 06511-2364
(203) 562-6400
(203) 562-6401
Mailing address
357 WHITNEY AVE, SUITE 204, NEW HAVEN, CT 06511-2364
(203) 562-6400
(203) 562-6401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
033086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033086CT04
ANTHEM BCBS
CT
01
—
202383
MHN ID NUMBER
CT
Enumeration date
12/26/2006
Last updated
07/08/2007
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