Doctor Name: | SUSAN B. BERGEY |
NPI Number: | 1124232301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP L |
License Number: | SL006179L |
Business Practice Address: | 310 Broad St Suite H Harleysville, PA - 194382399 |
Business Phone Number: | 2155132240 |
Business Fax Number: | 2155131891 |
Mailing Address: | 356 Hamilton Dr, HARLEYSVILLE |
State: | PA |
Postal Code: | 194382150 |
Phone Number: | 2155130901 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL006179L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |