Individual provider · Type 1 NPI

Samantha Ashley Berg

Adolescent and Children Mental Health Clinic/Center · New York, NY

NPI number 1467893115 Active

Practice location

635 165 Street, Promise Program 6th Floor
New York, NY 10032

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1467893115

Samantha Ashley Berg's National Provider Identifier is 1467893115, issued on Jul 10, 2013. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in New York, NY. The record was last updated on Jul 10, 2013.