| Dr. Mary Berge And Associates, Llc | |
|
1765 Goucher St Ste 150 Johnstown PA 15905-1101 | |
| (814) 535-8586 | |
| (814) 254-4170 |
| Full Name | Dr. Mary Berge And Associates, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1765 Goucher St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Ivar Berge (OFFICE MANAGER) |
| Authorized Official Contact | 8145358586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Berge And Associates, Llc 1765 Goucher St Ste 150 Johnstown PA 15905-1101 Ph: (814) 535-8586 | Dr. Mary Berge And Associates, Llc 1765 Goucher St Ste 150 Johnstown PA 15905-1101 Ph: (814) 535-8586 |
| NPI Number | 1063783678 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 04/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063783678 | NPI | - | NPPES |
| 0019357340006P | Other | PA | CBHNP |
| 562719 | Other | PA | VALUE BEHAVIORAL HEALTH |
| 1483294 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 168974 (Pennsylvania) | Primary |
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