David Berg, LAC
Counselor, Professional in Mantua, New Jersey
1194455295- Practice location
- 113 Pendragon Way, Mantua, NJ 08051-2218
- Phone
- 856-332-3003
- Fax
- —
- Last updated
- June 13, 2022
David Berg is a Counselor, Professional based in Mantua, NJ. David Berg practices in Mantua, NJ and has the professional credentials of LAC. The NPI Number for David Berg is 1194455295 and holds a License No. 37AC00536100 (NJ). The current practice location address for David Berg is 113 Pendragon Way, Mantua, NJ 08051-2218 and can be reached out via phone at 856-332-3003.
Provider Profile Details
- NPI Number
- 1194455295
- Provider Name
- David Berg
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 113 Pendragon Way, Mantua, NJ 08051-2218
- Phone Number
- 856-332-3003
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2022
- Last Update Date
- June 13, 2022
- Certification Date
- June 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Pendragon Way
Mantua, NJ 08051-2218 - City
- Mantua
- State
- New Jersey
- Zip
- 08051-2218
- Phone Number
- 856-332-3003
Provider Business Mailing Address Details
- Address
- 113 Pendragon Way
Mantua, NJ 08051-2218 - City
- Mantua
- State
- NJ
- Zip
- 08051-2218
- Phone Number
- 856-332-3003
License Information
- License Number
- 37AC00536100
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of David Berg, LAC?
The NPI number of David Berg, LAC is 1194455295. It was assigned on June 13, 2022 and is currently active in the NPPES registry.
What is the specialty of David Berg, LAC?
David Berg, LAC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00536100.
Where does David Berg, LAC practice?
The practice location is 113 Pendragon Way, Mantua, NJ 08051-2218. The office can be reached at 856-332-3003 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194455295 directly on the NPPES registry website.