NPI 1194911792 · live from the CMS NPI Registry
Katherine Suzanne Bergs, Ph.D., LMFT
Psychologist in Fort Worth, TX. National Provider Identifier 1194911792, active.
NPI record
| NPI | 1194911792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3301 Stalcup Rd, Fort Worth, TX 76119 |
| Practice phone | 817-702-1100 |
| Mailing address | 1412 May St, Fort Worth, TX 76104 |
| Enumerated | September 18, 2007 |
| Last updated | March 22, 2023 |
| Sole proprietor | Yes |
| Other names | Katherine Buck |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 37284 (TX) |
| Marriage & Family Therapist | 106H00000X | 5062A (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.