Individual
MRS. CARIANN M BERGNER-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD/PHD
Contact information
Practice address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 358-6606
Mailing address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 358-6606
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
16-13P
AR
Other
Enumeration date
07/27/2016
Last updated
07/28/2016
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