Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 7208 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 8402 | MA |
N | 103G00000X | Clinical Psychologist | 7208 | NY |
N | 103TC0700X | Clinical Psychologist | 7208 | NY |
Y | 103G00000X | Clinical Psychologist | 8402 | MA |
Y | 103TC0700X | Clinical Psychologist | 8402 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 7208 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8402 | MA |
N | 103TP0814X | Psychoanalysis | 7208 | NY |
N | 103TP0814X | Psychoanalysis | 8402 | MA |
NPI | 1710055108 |
---|---|
Provider Name | Dr. Neil Berger |
First Address | Great Barrington, MA 01230-1447 |
Second Address | Great Barrington, MA 01230-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/12/2011 |