Doctor Name: | MORGAN BERGMAN |
NPI Number: | 1548593932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 850231566 |
Business Practice Address: | 52 Mdos/sgow Unit 3690 Apo, AE - 09126 |
Business Phone Number: | 3144528285 |
Business Fax Number: | |
Mailing Address: | 52 Mdos/sgow, Unit 3690 APO |
State: | AE |
Postal Code: | 09126 |
Phone Number: | 3144528285 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 850231566 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |