| NPI | 1184717605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. BERG Neuropsychologist/Psychologist 910-791-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 1976) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1976) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |