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
Phone: (570) 524-0881
Fax: (570) 524-9738
Website:
Health care specialties
Specialty | Code | License # | 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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