Individual
STEPHANIE BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CORLEY MILL RD, LEXINGTON, SC 29072-7600
(803) 256-7041
(803) 079-9462
Mailing address
157 CORLEY MILL RD, LEXINGTON, SC 29072-7600
(803) 256-7041
(803) 079-9462
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4028
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028
STATE LICENSING
SC
Enumeration date
06/09/2014
Last updated
08/27/2015
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