Individual
HANNAH ELLEN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 N WILLSON AVE STE 703G, BOZEMAN, MT 59715-3551
(406) 582-5312
Mailing address
300 N WILLSON AVE STE 703G, BOZEMAN, MT 59715-3551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60812437
WA
Other
Enumeration date
10/09/2019
Last updated
11/22/2019
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