| NPI | 1174561641 |
|---|---|
| Former Name | LAURIE C BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2931) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CO 582AC) |
| 103TC1900X Psychologist, Counseling (Licence: CO 2653) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |