Berg, Melvin R
Berg, Melvin R is an individual health care provider with primary practice located at 2955 Sw Wanamaker Dr , Topeka KS 66614-5318. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Berg, Melvin R can be contacted via phone (785) 272-5566.Contact Information
Primary practice address
2955 Sw Wanamaker Dr
Topeka KS 66614-5318
Phone: (785) 272-5566
Fax: (785) 272-5967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 494 | Kansas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 494 | Kansas |
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 494 | Kansas |
Profile Details
| NPI number | 1215045315 |
|---|---|
| LBN Legal business name | Berg, Melvin R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jan 10th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215045315 | NPPES |
| Kansas | Other | 119659 | BLUE SHIELD OF KS |
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