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NPI Code Detail

MEDICARE: MRS. BARBARA J. BERGAN LPC

MEDICARE: MRS. BARBARA J. BERGAN LPC
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
1101YM0800XMental Health CounselorC.0500385OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C.0500385OTHEROHLPC

General Provider Information

NPI Number : 1972733731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA J. BERGAN LPC
Provider Business Mailing Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2801
Country : US
Telephone Number : 513-558-0783
Fax Number : 513-558-5076
Provider Business Practice Location Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2801
Country : US
Telephone Number : 513-558-0783
Fax Number : 513-558-5076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2009
Last Update Date : 07/15/2009

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