Elizabeth Bergeron, - Counselor in Salt Lake City, UT

Elizabeth Bergeron, is a Counselor - Mental Health based in Salt Lake City, Utah. Elizabeth Bergeron is licensed to practice in Utah (license number 3120663503) and her current practice location is 5965 S 900 E # 430, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 263-7100.

NPI number for Elizabeth Bergeron is 1205125697 and her current mailing address is 5965 S 900 E # 430, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205125697.

Contact Information

Elizabeth Bergeron,
5965 S 900 E # 430,
Salt Lake City, UT 84121-1720
(801) 263-7100
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameElizabeth Bergeron
GenderFemale
SpecialityCounselor - Mental Health
Location5965 S 900 E # 430, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205125697
  • Provider Enumeration Date: 04/06/2011
  • Last Update Date: 04/06/2011

Medical Identifiers

Medical identifiers for Elizabeth Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205125697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 3120663503 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Bergeron is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Bergeron,
5965 S 900 E # 430,
Salt Lake City, UT 84121-1720

Ph: (801) 263-7100
Elizabeth Bergeron,
5965 S 900 E # 430,
Salt Lake City, UT 84121-1720

Ph: (801) 263-7100

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