Individual
LINDA BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 DARE RD, YORKTOWN, VA 23692-2716
(757) 898-0300
Mailing address
311 WILLARDS WAY, YORKTOWN, VA 23693-2542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007659
VA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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