Organization
KATHLEEN BERGESON, PHD P C
Active
Organization
KATHLEEN BERGESON, PHD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BERGESON PH D (PRESIDENT)
(570) 524-0881
Entity
Organization
Contact information
Practice address
11 REITZ BLVD, SUITE 101, LEWISBURG, PA 17837-9293
(570) 524-0881
(570) 524-9738
Mailing address
11 REITZ BLVD, SUITE 101, LEWISBURG, PA 17837-9293
(570) 524-0881
(570) 524-9738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015237
PA
Other
Enumeration date
05/03/2007
Last updated
07/10/2007
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