Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ENNIS BERKER, PH.D.
Active Sole ProprietorDR. ENNIS BERKER, PH.D. is a Clinical Neuropsychologist healthcare provider located in DEXTER, Michigan. NPI 1316039357 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · DEXTER, MI
Registration Details
- NPI Number
- 1316039357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.907433312086 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
6301 006050 (MI)6301006050 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1008 MERLIN WAYDEXTER, MI, 481309834Browse MI providers · Browse ZIP 48130
- Phone
- 2692172992
- Fax
- 7346230108
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.