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NPI Code Detail

MEDICARE: JENNIFER UHL-BERGMAN CCC-SLP

MEDICARE:   JENNIFER  UHL-BERGMAN  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist41YS00090300NJ

General Provider Information

NPI Number : 1851840482
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER UHL-BERGMAN CCC-SLP
Provider Business Mailing Address
First Line : 17 CHERRY ST
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-1834
Country : US
Telephone Number : 609-923-9519
Fax Number :
Provider Business Practice Location Address
First Line : 17 CHERRY ST
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-1834
Country : US
Telephone Number : 609-923-9519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2016
Last Update Date : 09/23/2016

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Directions to “ JENNIFER UHL-BERGMAN CCC-SLP” Practice Location

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