Berg, Kathryn J

Berg, Kathryn J is an individual health care provider with primary practice located at 11800 Singletree Ln , Eden Prairie MN 55344-5397. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berg, Kathryn J can be contacted via phone (952) 914-0384.

Contact Information

Primary practice address
11800 Singletree Ln Eden Prairie MN 55344-5397
Phone: (952) 914-0384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 03547 Minnesota

Profile Details

NPI number 1407831431
LBN Legal business name Berg, Kathryn J
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407831431 NPPES
Minnesota Other HP27318 HEALTHPARTNERS
Minnesota Other 62-11498 HEALTHPARTNERS
Minnesota Other 79455 HEALTHPARTNERS
Minnesota Other 8G209BE HEALTHPARTNERS

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