| Doctor Name: | JENNIFER L BERGERON |
| NPI Number: | 1255638334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 8548 |
| Business Practice Address: | 9 College St Suite 6 South Hadley, MA - 010751421 |
| Business Phone Number: | 4135347400 |
| Business Fax Number: | 4135347483 |
| Mailing Address: | 9 College Street, Suite 6, James Levine & Associates, P.c. SOUTH HADLEY |
| State: | MA |
| Postal Code: | 01075 |
| Phone Number: | 4135347400 |
| Fax Number: | 4135347483 |
| NPI Enumeration Date: | 02/25/2011 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |