| Kathleen Bergeson, Phd P C | |
|
11 Reitz Blvd Suite 101 Lewisburg PA 17837-9293 | |
| (570) 524-0881 | |
| (570) 524-9738 |
| Full Name | Kathleen Bergeson, Phd P C |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11 Reitz Blvd, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Kathleen Bergeson (PRESIDENT) |
| Authorized Official Contact | 5705240881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Bergeson, Phd P C 11 Reitz Blvd Suite 101 Lewisburg PA 17837-9293 Ph: (570) 524-0881 | Kathleen Bergeson, Phd P C 11 Reitz Blvd Suite 101 Lewisburg PA 17837-9293 Ph: (570) 524-0881 |
| NPI Number | 1164634200 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164634200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015237 (Pennsylvania) | Primary |
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