| Brenda L. Bergman, Pllc | |
|
306 W Superior St Suite 608 Duluth MN 55802-1803 | |
| (218) 740-3060 | |
| (218) 740-3060 |
| Full Name | Brenda L. Bergman, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 306 W Superior St, Duluth, Minnesota |
| Authorized Official Name and Position | Brenda Bergman (PRESIDENT) |
| Authorized Official Contact | 2187403060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda L. Bergman, Pllc 306 W Superior St Suite 608 Duluth MN 55802-1803 Ph: (218) 740-3060 | Brenda L. Bergman, Pllc 306 W Superior St Suite 608 Duluth MN 55802-1803 Ph: (218) 740-3060 |
| NPI Number | 1407867955 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407867955 | NPI | - | NPPES |
| 806547100 | Medicaid | MN | |
| 61-24268 | Other | MN | UBH |
| 358J1BE | Other | MN | BLUE CROSS |
| 117597 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1730 (Minnesota) | Primary |
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