Jennifer Bergman Ms Ccc Llc in Marlton - Speech-language Pathologist

Jennifer Bergman Ms Ccc Llc - NPI 1558562199

Jennifer Bergman Ms Ccc Llc is a Speech-language Pathologist in Marlton, New Jersey. Jennifer Bergman Ms Ccc Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jennifer Bergman Ms Ccc Llc is 1558562199. The last update date is 2020-08-22.

Jennifer Bergman Ms Ccc Llc's current location address is 475 Old Marlton Pike W, Marlton, New Jersey. You can contact this provider via phone number 8569836160. The mailing address for Jennifer Bergman Ms Ccc Llc is 475 Old Marlton Pike W, Marlton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jennifer Bergman Ms Ccc Llc
Address 475 Old Marlton Pike W, Marlton, New Jersey
Phone Number 8569836160
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bergman Jennifer
Credentials MS
Telephone Number 8569836160

NPI Number Detail

NPI Number 1558562199
Provider Enumeration Date 2007-05-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 475 Old Marlton Pike W
City Marlton
State New Jersey (NJ)
Post Code 80532098
Phone Number 8569836160
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 41YS00090300
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41YS00090300 NJ LICENSE

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FAQs about Jennifer Bergman Ms Ccc Llc

What is the unique 10-digit identification code assigned to Jennifer Bergman Ms Ccc Llc by the Centers for Medicare & Medicaid Services?

The Jennifer Bergman Ms Ccc Llc has been issued the NPI (National Provider Identifier) 1558562199, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jennifer Bergman Ms Ccc Llc is physically located?

The Jennifer Bergman Ms Ccc Llc is physically situated at the following address: 475 Old Marlton Pike W, Marlton, NJ, 80532098.

What is Jennifer Bergman Ms Ccc Llc's area of expertise and its corresponding taxonomy classification?

The Jennifer Bergman Ms Ccc Llc's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.

When did the Jennifer Bergman Ms Ccc Llc receive its 1558562199?

The Jennifer Bergman Ms Ccc Llc was issued its 1558562199 on 2007-05-30, which is the date when the organization was assigned this unique identifier.

As of what date were the Jennifer Bergman Ms Ccc Llc's details last updated?

The information pertaining to the Jennifer Bergman Ms Ccc Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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