Kathleen Bergeson, Phd P C in Lewisburg - Clinical
Kathleen Bergeson, Phd P C - NPI 1164634200
Kathleen Bergeson, Phd P C is a Clinical in Lewisburg, Pennsylvania. Kathleen Bergeson, Phd P C practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Bergeson, Phd P C is 1164634200. The last update date is 2007-07-10.
Kathleen Bergeson, Phd P C's current location address is 11 Reitz Blvd, Lewisburg, Pennsylvania. You can contact this provider via phone number 5705240881 and fax number 5705249738. The mailing address for Kathleen Bergeson, Phd P C is 11 Reitz Blvd, Lewisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kathleen Bergeson, Phd P C |
|---|---|
| Address | 11 Reitz Blvd, Lewisburg, Pennsylvania |
| Phone Number | 5705240881 |
| Fax Number | 5705249738 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bergeson Kathleen |
| Credentials | PH D |
| Telephone Number | 5705240881 |
NPI Number Detail
| NPI Number | 1164634200 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 11 Reitz Blvd |
|---|---|
| City | Lewisburg |
| State | Pennsylvania (PA) |
| Post Code | 178379293 |
| Phone Number | 5705240881 |
| Fax Number | 5705249738 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015237 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kathleen Bergeson, Phd P C?
The Kathleen Bergeson, Phd P C has been issued the NPI (National Provider Identifier) 1164634200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kathleen Bergeson, Phd P C's facilities are situated?
The facilities of Kathleen Bergeson, Phd P C are physically located at the following address: 11 Reitz Blvd, Lewisburg, PA, 178379293.
What is the Kathleen Bergeson, Phd P C's specialty and taxonomy code?
The Kathleen Bergeson, Phd P C's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Kathleen Bergeson, Phd P C receive its 1164634200 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Bergeson, Phd P C was assigned its 1164634200 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kathleen Bergeson, Phd P C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen Bergeson, Phd P C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-10.