Berg, Erica Anne
Berg, Erica Anne is an sole proprietor health care provider with primary practice located at 636 Church St Ste 515 , Evanston IL 60201-4581. She recently has 2 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 / Clinical is her primary health care specialty. Berg, Erica Anne can be contacted via phone (773) 987-1768.Contact Information
Primary practice address
636 Church St Ste 515
Evanston IL 60201-4581
Phone: (773) 987-1768
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois | |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
NPI number | 1285785832 |
---|---|
LBN Legal business name | Berg, Erica Anne |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 12th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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