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Organization

JACQUELINE BERGER

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Organization

JACQUELINE BERGER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE M BERGER (SPEECH PATHOLOGIST)
(631) 475-8557
Entity
Organization

Contact information

Practice address
40 W 4TH ST APT 3, PATCHOGUE, NY 11772-2123
(631) 475-8557
Mailing address
40 W 4TH ST APT 3, PATCHOGUE, NY 11772-2123

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003501
NY

Other

Enumeration date
09/15/2008
Last updated
12/06/2012
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