Healthcare Provider Details

I. General information

NPI: 1326515446
Provider Name (Legal Business Name): ERIN MURTHA-BERG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MURTHA

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

IV. Provider business mailing address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-3230
  • Fax:
Mailing address:
  • Phone: 605-336-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number578
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: