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NPI Code Detail

MEDICARE: DR. LOIS PAFF BERGEN LOIS PAFF BERGEN PHD

MEDICARE:  DR. LOIS  PAFF BERGEN  LOIS PAFF BERGEN PHD
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
1106H00000XMarriage & Family Therapist054CO

General Provider Information

NPI Number : 1376516419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOIS PAFF BERGEN LOIS PAFF BERGEN PHD
Provider Business Mailing Address
First Line : 1843 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-7857
Country : US
Telephone Number : 719-532-1701
Fax Number : 719-548-8396
Provider Business Practice Location Address
First Line : 1843 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-7857
Country : US
Telephone Number : 719-532-1701
Fax Number : 719-548-8396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LOIS PAFF BERGEN LOIS PAFF BERGEN PHD” Practice Location

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