Kathleen Bergeson, PHD P C
NPI #1164634200 in Lewisburg, Pennsylvania
Provider Information
- NPI Number
- 1164634200
- Entity Type
- Organization
- Organization Name
- Kathleen Bergeson, PHD P C
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 11 REITZ BLVD
- Address 2
- SUITE 101
- City
- Lewisburg
- State
- Pennsylvania
- ZIP Code
- 17837-9293
- Phone
- (570) 524-0881
Authorized Official
- Name
- KATHLEEN BERGESON, PH D
- Title
- PRESIDENT
- Phone
- (570) 524-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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