Rebecca T Bergum in Lynchburg - Marriage & Family Therapist

Rebecca T Bergum - NPI 1356411169

Rebecca T Bergum is a Marriage & Family Therapist in Lynchburg, Virginia. Rebecca T Bergum practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Rebecca T Bergum is 1356411169. The last update date is 2007-07-08.

Rebecca T Bergum's current location address is 798 Leesville Rd, Lynchburg, Virginia. You can contact this provider via phone number 4342391928 and fax number 4342398779. The mailing address for Rebecca T Bergum is 798 Leesville Rd, Lynchburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca T Bergum
Address 798 Leesville Rd, Lynchburg, Virginia
Phone Number 4342391928
Fax Number 4342398779
Sole Proprietor N
Credentials LPC LMFT

NPI Number Detail

NPI Number 1356411169
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 798 Leesville Rd
City Lynchburg
State Virginia (VA)
Post Code 24502
Phone Number 4342391928
Fax Number 4342398779

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 717000523
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11525477 VA CAQH
282972 VA ANTHEM BCBS

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FAQs about Rebecca T Bergum

What is the unique provider identifier assigned to Rebecca T Bergum?

The Rebecca T Bergum has been issued the NPI (National Provider Identifier) 1356411169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Rebecca T Bergum?

The Rebecca T Bergum is situated at 798 Leesville Rd, in the city of Lynchburg, state of VA, with the zip code 24502.

What is Rebecca T Bergum's area of expertise and its corresponding taxonomy classification?

The Rebecca T Bergum's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.

When did Rebecca T Bergum receive its 1356411169 assignment?

The Rebecca T Bergum was assigned its 1356411169 on 2006-11-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Rebecca T Bergum last refreshed?

The information related to the Rebecca T Bergum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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