Provider Demographics
NPI:1801416433
Name:BERG, TOVA (MD, PHD)
Entity type:Individual
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First Name:TOVA
Middle Name:
Last Name:BERG
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:101 W LIBERTY ST APT 360
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1365
Mailing Address - Country:US
Mailing Address - Phone:734-228-3579
Mailing Address - Fax:
Practice Address - Street 1:101 W LIBERTY ST APT 360
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1365
Practice Address - Country:US
Practice Address - Phone:734-228-3579
Practice Address - Fax:914-259-5422
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43015119682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry