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General NPI Number Information
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NPI Number | 1376464230
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Entity Type | Organization
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Legal Business Name | JOHANNA BERGER, PHD, PSYCHOLOGIST, PLLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 65 CENTRAL PARK W APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-6008
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Country | US
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Telephone | 917-254-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 65 CENTRAL PARK W APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-6008
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Country | US
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Telephone | 917-254-9770
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. JOHANNA BERGER
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Credential | PHD
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Telephone | 917-254-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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