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NPI Code Detail

MEDICARE: STEPHANIE BERG LPC

MEDICARE: STEPHANIE BERG LPC
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
1101YP2500XProfessional CounselorPC 006832PA

General Provider Information

NPI Number : 1467843680
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BERG LPC
Provider Business Mailing Address
First Line : 437 RAILROAD ST
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2329
Country : US
Telephone Number : 412-221-3302
Fax Number : 412-774-1576
Provider Business Practice Location Address
First Line : 437 RAILROAD ST
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2329
Country : US
Telephone Number : 412-221-3302
Fax Number : 412-774-1576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2015
Last Update Date : 02/10/2015

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Directions to “ STEPHANIE BERG LPC” Practice Location

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