DR. Vickie Lynn Bergen, PHD LP

NPI #1407961311 in Taylor, Michigan

Provider Information

NPI Number: 1407961311
Entity Type: Individual
Name: DR. Vickie Lynn Bergen, PHD LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD LP
Enumeration Date: Aug 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20600 EUREKA ROAD
Address 2: SUITE 819
City: Taylor
State: Michigan
ZIP Code: 48180
Phone: (734) 285-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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