Berg, Jennifer Marie

Berg, Jennifer Marie is an individual health care provider with primary practice located at 23370 Road 22 , Chowchilla CA 93610-8504. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Berg, Jennifer Marie can be contacted via phone (559) 665-5531.

Contact Information

Primary practice address
23370 Road 22 Chowchilla CA 93610-8504
Phone: (559) 665-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY32857 California

Profile Details

NPI number 1609575935
LBN Legal business name Berg, Jennifer Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2023
Last updated Mar 28th, 2023 - about 2 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 1609575935 NPPES
California Other PSY32857 CA CLINICAL PSYCHOLOGIST LICENSE

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