Gisela P Berger, PH.D.
Individual provider Active NPI Community/Behavioral Health Agency · Mequon, WI
NPI 1457569147 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1457569147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3930 (WI)
- Practice address
- 4313 W Marseilles Dr
Mequon, WI 53092-1173 - Phone
- (414) 469-5784
- NPI assigned
- May 18, 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003643 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3930 | WI | Yes |
| Professional Counselor | 101YP2500X | 0701003643 | VA |
Addresses
Primary practice location
4313 W Marseilles Dr
Mequon, WI 53092-1173
Mailing address
4313 W Marseilles Dr
Mequon, WI 53092-1173
Phone (414) 469-5784
Other providers in Mequon, WI
- April Belk
- Andrea M. Bennett
- Lisa Bennett
- James Beres
- Brittney Berg
- Samantha Bergmann
- Debra Berridge
- Best Town Transportation
- Nina Anne Best
- Robert Nicholaus Beyer
All providers in Mequon, WI · Community/Behavioral Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. 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.