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NPI Code Detail

MEDICARE: LISA ANN BERGESON SLP

MEDICARE: LISA ANN BERGESON 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 Pathologist2610KS

General Provider Information

NPI Number : 1134605421
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN BERGESON SLP
Provider Business Mailing Address
First Line : 7235 W 162ND TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66085-8238
Country : US
Telephone Number : 913-257-5808
Fax Number : 844-270-5788
Provider Business Practice Location Address
First Line : 7235 W 162ND TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66085-8238
Country : US
Telephone Number : 913-257-5808
Fax Number : 844-270-5788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 07/19/2018

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1720693674 — ANDREA ARLOTTI DLUGOSCH SLP
Practice Location Address:
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Directions to “ LISA ANN BERGESON SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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