MS. Kathleen G Bergman, MA LP

NPI #1912068834 in Blaine, Minnesota

Provider Information

NPI Number: 1912068834
Entity Type: Individual
Name: MS. Kathleen G Bergman, MA LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MA LP
Enumeration Date: Dec 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10267 UNIV AVE N
Address 2: ST 203
City: Blaine
State: Minnesota
ZIP Code: 55434
Phone: (612) 210-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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