Organization Name: | MIKE BERGER, SLP, LLC |
NPI Number: | 1942443296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE BERGER (OPERATING MANAGER) |
Mailing Address: | 1532 N Walnut St Mcpherson |
State: | KS US |
Postal Code: | 674601824 |
Phone Number: | 6204809320 |
Fax Number: | 6202415339 |
NPI Enumeration Date: | 04/16/2009 |
NPI Last Update Date: | 04/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |