DR. Laurie L. Bergner, PH.D.

NPI #1164538393 in Bloomington, Illinois

Provider Information

NPI Number
1164538393
Entity Type
Individual
Name
DR. Laurie L. Bergner, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
901 E GROVE ST
ZIP Code
61701-4200
Phone
(309) 828-6821

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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