Provider Demographics
NPI:1285659441
Name:BERGER, NOELLE MARGIT (PHD)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:MARGIT
Last Name:BERGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PARTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-4311
Mailing Address - Country:US
Mailing Address - Phone:914-949-7571
Mailing Address - Fax:914-949-7571
Practice Address - Street 1:10 PARTRIDGE RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-4311
Practice Address - Country:US
Practice Address - Phone:914-949-7571
Practice Address - Fax:914-949-7571
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12261103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP376889OtherOXFORD HEALTH PLANS
NYV10922Medicare ID - Type Unspecified