Doctor Name: | DANA BETH BERG |
NPI Number: | 1750555926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | 5724 Derry Drive Fort Collins, CO - 805255843 |
Business Phone Number: | 3033457360 |
Business Fax Number: | 3035049946 |
Mailing Address: | 5724 Derry Drive, FORT COLLINS |
State: | CO |
Postal Code: | 805255843 |
Phone Number: | 3033457360 |
Fax Number: | 3035049946 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |