| Richard A. Berg, Pc | |
|
5010 Randall Parkway Wilmington NC 28403 | |
| (910) 791-5719 | |
| (910) 799-8180 |
| Full Name | Richard A. Berg, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5010 Randall Parkway, Wilmington, North Carolina |
| Authorized Official Name and Position | Richard A. Berg (NEUROPSYCHOLOGIST/PSYCHOLOGIST) |
| Authorized Official Contact | 9107915719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Berg, Pc 5010 Randall Parkway Wilmington NC 28403 Ph: (910) 791-5719 | Richard A. Berg, Pc 5010 Randall Parkway Wilmington NC 28403 Ph: (910) 791-5719 |
| NPI Number | 1184717605 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184717605 | NPI | - | NPPES |
| 5777071 | Other | AETNA | |
| 0334H | Other | NC | BLUE CROSS BLUE SHIELD |
| 07740 | Other | MAGELLAN | |
| 280096/A206244 | Other | VALUE OPTIONS | |
| 61-00496 | Other | UNITED HEALTH CARE/UBH | |
| B5232 | Other | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1976 (North Carolina) | Primary |
| 103TC0700X | Psychologist - Clinical | 1976 (North Carolina) | Primary |
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