Provider Demographics
NPI:1295443547
Name:BERG, DANIEL G II
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:G
Last Name:BERG
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2869 FAGLEYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-9761
Mailing Address - Country:US
Mailing Address - Phone:610-741-4904
Mailing Address - Fax:
Practice Address - Street 1:2869 FAGLEYSVILLE RD
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-9761
Practice Address - Country:US
Practice Address - Phone:610-741-4904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor