Susan Z Berg, MS, LGC
Individual provider Active NPI Genetic Counselor (M.S.) · Lebanon, NH
NPI 1164084778 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1164084778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Genetic Counselor (M.S.) 170300000X
- License
- 0010 (NH)
- Practice address
- One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756 - Phone
- (603) 653-3541
- Fax
- (603) 650-2902
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010 | NH | MD | Genetic Counselor (M.S.) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 0010 | NH | Yes |
Addresses
Primary practice location
One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Mailing address
One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Phone (603) 653-3541
Other providers in Lebanon, NH
- Anna Leigh Benvenuto
- Nicholas Michael Benvenuto
- Carolyn Benway
- Francis M Benz
- Anna Berezhny
- Kathleen E Berger
- Ruth Elizabeth Berggren
- Lindsay Bergmann
- Ethan Michael Berke
- Norman Bruce Berman
All providers in Lebanon, NH · Genetic Counselor (M.S.) in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.