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Individual

AARON LESLIE BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3055 ROSLYN ST UNIT 100, DENVER, CO 80238-3324
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
PSY.0005657
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123190
OR
Enumeration date
09/10/2012
Last updated
11/17/2021
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