MEDICARE: CHRISTINA BERGMAN MA

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1538437710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BERGMAN MA

Provider Business Mailing Address
First Line	:	2318 QUEEN MORGAN LN
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75056-5546
Country	:	US
Telephone Number	:	972-824-9774
Fax Number	:	866-646-0383

Provider Business Practice Location Address
First Line	:	2318 QUEEN MORGAN LN
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75056
Country	:	US
Telephone Number	:	972-824-9774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2011
Last Update Date	:	10/10/2018

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Directions to “ CHRISTINA BERGMAN MA” Practice Location

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