| Laura Berg Pllc | |
|
1004 S Monroe St Ste 201 Spokane WA 99204-3838 | |
| (347) 427-5655 | |
| Not Available |
| Full Name | Laura Berg Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1004 S Monroe St Ste 201, Spokane, Washington |
| Authorized Official Name and Position | Laura Berg (OWNER) |
| Authorized Official Contact | 3474275655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Berg Pllc 1004 S Monroe St Ste 201 Spokane WA 99204-3838 Ph: (347) 427-5655 | Laura Berg Pllc 1004 S Monroe St Ste 201 Spokane WA 99204-3838 Ph: (347) 427-5655 |
| NPI Number | 1922829449 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 7911432018 |
|---|---|
| Medicare Enrollment ID | O20241126003701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922829449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Ann Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124473087 PECOS PAC ID: 0749545507 Enrollment ID: I20180525001274 |
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