Bergeson, Kathleen Rae

Bergeson, Kathleen Rae is an individual health care provider with primary practice located at 11 Reitz Blvd , Lewisburg PA 17837-9293. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bergeson, Kathleen Rae can be contacted via phone (570) 524-0881.

Contact Information

Primary practice address
11 Reitz Blvd Lewisburg PA 17837-9293
Fax: (570) 524-9738
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 012260 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS015237 Pennsylvania

Profile Details

NPI number 1427055995
LBN Legal business name Bergeson, Kathleen Rae
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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