Elyse L Berger, LMHC

Individual provider Active NPI Mental Health Counselor · Oakland Gardens, NY

NPI 1336288406 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336288406
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
003094 (NY)
Practice address
7817 Springfield Blvd
Oakland Gardens, NY 11364-3628
Phone
(718) 464-2576
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
003094NYMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003094 NY Yes

Addresses

Primary practice location

7817 Springfield Blvd
Oakland Gardens, NY 11364-3628

Mailing address

7817 Springfield Blvd
Oakland Gardens, NY 11364-3628
Phone (718) 464-2576

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.