Erica Lynn Bergholtz

NPI #1336410125 in Allston, Massachusetts

Provider Information

NPI Number: 1336410125
Entity Type: Individual
Name: Erica Lynn Bergholtz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 14 FORDHAM RD
City: Allston
State: Massachusetts
ZIP Code: 02134-3006
Phone: (617) 782-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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