Organization
RONALD L. BERGMAN, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L BERGMAN PH.D. (PRESIDENT)
(305) 932-3666
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST, S-214, MIAMI, FL 33180-1900
(305) 932-3666
Mailing address
2627 NE 203RD ST, S-214, MIAMI, FL 33180-1900
(305) 932-3666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2048
FL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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