Gretchen Ann Bergen in Cary - Speech-language Pathologist
Gretchen Ann Bergen - NPI 1316908619
Gretchen Ann Bergen is a Speech-language Pathologist in Cary, Illinois. Gretchen Ann Bergen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Gretchen Ann Bergen is 1316908619. The last update date is 2007-07-08.
Gretchen Ann Bergen's current location address is 1212 Mink Trl, Cary, Illinois. You can contact this provider via phone number 8476397963 and fax number 8476391506. The mailing address for Gretchen Ann Bergen is 1212 Mink Trl, Cary, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen Ann Bergen |
|---|---|
| Address | 1212 Mink Trl, Cary, Illinois |
| Phone Number | 8476397963 |
| Fax Number | 8476391506 |
| Sole Proprietor | X |
| Credentials | M.A., SLP/ |
NPI Number Detail
| NPI Number | 1316908619 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1212 Mink Trl |
|---|---|
| City | Cary |
| State | Illinois (IL) |
| Post Code | 600136066 |
| Phone Number | 8476397963 |
| Fax Number | 8476391506 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 146.00632 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identifier code issued to Gretchen Ann Bergen by the Centers for Medicare & Medicaid Services?
The Gretchen Ann Bergen has been assigned the NPI (National Provider Identifier) 1316908619. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gretchen Ann Bergen?
The Gretchen Ann Bergen is physically situated at 1212 Mink Trl, in the city of Cary, state of IL, with the postal code 600136066.
What is Gretchen Ann Bergen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gretchen Ann Bergen's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did Gretchen Ann Bergen receive its 1316908619 assignment from the Centers for Medicare & Medicaid Services?
The Gretchen Ann Bergen was assigned its 1316908619 on 2006-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gretchen Ann Bergen most recently updated or revised?
The information pertaining to Gretchen Ann Bergen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.