Raymond Michael Bergner in Bloomington - Clinical
Raymond Michael Bergner - NPI 1134304629
Raymond Michael Bergner is a Clinical in Bloomington, Illinois. Raymond Michael Bergner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raymond Michael Bergner is 1134304629. The last update date is 2008-01-03.
Raymond Michael Bergner's current location address is 901 E Grove St, Bloomington, Illinois. You can contact this provider via phone number 3098286821. The mailing address for Raymond Michael Bergner is 901 E Grove St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raymond Michael Bergner |
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Address | 901 E Grove St, Bloomington, Illinois |
Phone Number | 3098286821 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1134304629 |
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Provider Enumeration Date | 2008-01-03 |
Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
Address | 901 E Grove St |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 617014200 |
Phone Number | 3098286821 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Raymond Michael Bergner by the Centers for Medicare & Medicaid Services?
The Raymond Michael Bergner has been issued the NPI (National Provider Identifier) 1134304629 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Raymond Michael Bergner is physically located?
The Raymond Michael Bergner is physically situated at the following address: 901 E Grove St, Bloomington, IL, 617014200.
What is Raymond Michael Bergner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Raymond Michael Bergner is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134304629 to Raymond Michael Bergner?
The Centers for Medicare & Medicaid Services assigned the 1134304629 to Raymond Michael Bergner on 2008-01-03.
As of what date was the information regarding Raymond Michael Bergner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raymond Michael Bergner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-03.
NPI Number: 1952305922
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