Susan Diane Bergen, MA, LMFT
NPI #1497856637 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1497856637
- Entity Type
- Individual
- Name
- Susan Diane Bergen, MA, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA, LMFT
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 647 FILER AVE
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4008
- Phone
- (208) 737-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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