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NPI Code Detail

MEDICARE: BERGER PSYCHOLOGICAL SERVICES, P.C.

MEDICARE: BERGER PSYCHOLOGICAL SERVICES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1730522038
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERGER PSYCHOLOGICAL SERVICES, P.C.
Provider Business Mailing Address
First Line : 600 VILLAGE TRCE NE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-4069
Country : US
Telephone Number : 770-971-3303
Fax Number : 770-971-3314
Provider Business Practice Location Address
First Line : 600 VILLAGE TRCE NE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-4069
Country : US
Telephone Number : 770-971-3303
Fax Number : 770-971-3314
Authorized Official
Title or Position : CEO
Name : DR. STEVEN GARY BERGER
Credential : PH.D.
Telephone Number : 770-971-3303
Provider Enumeration Date : 04/17/2013
Last Update Date : 04/16/2026

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