| Doctor Name: | DR. THOMAS E BERGER |
| NPI Number: | 1083613723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PL 5630 |
| Business Practice Address: | 1061 Harmon Ave Ste 1d03 Ft Stewart, GA - 313145604 |
| Business Phone Number: | 9124356100 |
| Business Fax Number: | |
| Mailing Address: | 230 Duncan Dr Bldg 440, SAVANNAH |
| State: | GA |
| Postal Code: | 314095107 |
| Phone Number: | 9123156430 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2005 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PL 5630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |