Individual
MRS. ELIZABETH FREMIN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1401 RENEE DR, THIBODAUX, LA 70301-3948
(985) 665-3945
Mailing address
1401 RENEE DR, THIBODAUX, LA 70301-3948
(985) 665-3945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5568
LA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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