Provider Demographics
NPI:1629304209
Name:BERLIN, KATE L (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:L
Last Name:BERLIN
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 1:1830 HILLANDALE RD
Mailing Address - Street 2:DURHAM VAMC, PTSD CLINIC (116E)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2670
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:
Practice Address - Street 1:1830 HILLANDALE RD
Practice Address - Street 2:DURHAM VAMC, PTSD CLINIC (116E)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2670
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3871103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical