| Jennifer Berg Pllc | |
|
305 W Moana Ln Ste B2 Reno NV 89509-4965 | |
| (775) 800-6102 | |
| Not Available |
| Full Name | Jennifer Berg Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 305 W Moana Ln Ste B2, Reno, Nevada |
| Authorized Official Name and Position | Jennifer Berg (OWNER) |
| Authorized Official Contact | 7758006102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Berg Pllc 305 W Moana Ln Ste B2 Reno NV 89509-4965 Ph: (775) 800-6102 | Jennifer Berg Pllc 305 W Moana Ln Ste B2 Reno NV 89509-4965 Ph: (775) 800-6102 |
| NPI Number | 1770243826 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 5395129134 |
|---|---|
| Medicare Enrollment ID | O20220829001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770243826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer G Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669530622 PECOS PAC ID: 9133484363 Enrollment ID: I20220901003173 |
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