Gwendolyn Louise Bergman

NPI #1265847958 in Fort Recovery, Ohio

Provider Information

NPI Number: 1265847958
Entity Type: Individual
Name: Gwendolyn Louise Bergman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 22, 2014
Last Updated: Jun 22, 2014

Practice Location

Address: 117 E BROADWAY ST LOT 49
City: Fort Recovery
State: Ohio
ZIP Code: 45846-9318
Phone: (419) 953-1789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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