Jon A. Bergeron in College Station - Clinical
Jon A. Bergeron - NPI 1568422707
Jon A. Bergeron is a Clinical in College Station, Texas. Jon A. Bergeron practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jon A. Bergeron is 1568422707. The last update date is 2013-11-25.
Jon A. Bergeron's current location address is 16741 Woodlake Dr, College Station, Texas. You can contact this provider via phone number 9795755198. The mailing address for Jon A. Bergeron is 16741 Woodlake Dr, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon A. Bergeron |
|---|---|
| Address | 16741 Woodlake Dr, College Station, Texas |
| Phone Number | 9795755198 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.H.D. |
NPI Number Detail
| NPI Number | 1568422707 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2013-11-25 |
Provider Mailing Address Detail
| Address | 16741 Woodlake Dr |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778458273 |
| Phone Number | 9795755198 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31998 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1596470-01 | TX | -- | |
| P00028151 | TX | RR/MEDICARE | |
| 86790A | TX | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jon A. Bergeron by the Centers for Medicare & Medicaid Services?
The Jon A. Bergeron has been issued the NPI (National Provider Identifier) 1568422707, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jon A. Bergeron is physically located?
The Jon A. Bergeron is situated at the following address: 16741 Woodlake Dr, College Station, TX 778458273.
What is Jon A. Bergeron's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jon A. Bergeron is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568422707 to Jon A. Bergeron?
The Jon A. Bergeron received its 1568422707 assignment from the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the Jon A. Bergeron's information last updated?
The Jon A. Bergeron's information was last updated on 2013-11-25.