Whalio Doctors

NPI 1083946909

Gordon Mark Berger, PHD

Practitioner Psychoanalyst Los Angeles, CA

Practice location

Address
1626 Westwood Blvd Suite 106, Los Angeles, CA 90024-5621
Phone
(310) 475-3376
Fax
(310) 475-4704

Registered specialties

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence RP40 (CA)

Registry record

NPI
1083946909
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Feb 2010
Record last updated
2 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.