| Doctor Name: | MR. JOHN MICHAEL BERGMAN |
| NPI Number: | 1215901202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICENSED PSYCHOLOGIS |
| License Number: | 00505 |
| Business Practice Address: | 9 N 4th Ave Marshalltown, IA - 501581836 |
| Business Phone Number: | 6417521585 |
| Business Fax Number: | 6417529665 |
| Mailing Address: | 9 N 4th Ave, MARSHALLTOWN |
| State: | IA |
| Postal Code: | 501581836 |
| Phone Number: | 6417521585 |
| Fax Number: | 6417529665 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 00505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |