Individual
MEREDITH BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-4385
(603) 524-1497
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-4385
(603) 524-1497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1044
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30404562
—
NH
01
—
66Y011053NH01
ANTHEM
NH
Enumeration date
05/09/2007
Last updated
02/24/2021
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