Individual
ANDREA JILL BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15211 UNION TPKE., CENTER FOR PSYCHOLOGICAL SERVICES, FLUSHING, NY 11367
(718) 990-1550
Mailing address
8000 UTOPIA PKWY, SAINT JOHN'S UNIVERSITY, JAMAICA, NY 11439
(718) 990-1550
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
010356-1
NY
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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