Doctor Name: | KAYCEE BERGLUND |
NPI Number: | 1639490964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 7852 |
Business Practice Address: | 335 Chandler St Worcester, MA - 016023441 |
Business Phone Number: | 5087532967 |
Business Fax Number: | |
Mailing Address: | 22 Willard Ave, Apt 1 SHREWSBURY |
State: | MA |
Postal Code: | 015455264 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |