| Doctor Name: | KATHY BERG |
| NPI Number: | 1114321825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2273-226 |
| Business Practice Address: | 2900 Hoover Rd Suite B Stevens Point, WI - 544815678 |
| Business Phone Number: | 7155444435 |
| Business Fax Number: | 7159524995 |
| Mailing Address: | Po Box 959, STEVENS POINT |
| State: | WI |
| Postal Code: | 544810959 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2014 |
| NPI Last Update Date: | 10/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2273-226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |