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Individual

DR. ANNA BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7400 NEW LAGRANGE RD, STE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9992
Mailing address
7400 NEW LAGRANGE RD, STE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9992

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040387A
IN
103TC0700X
Clinical Psychologist
Primary
KY-0428
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047448
ANTHEM
KY
01
009406
VALUE OPTIONS
KY
01
037912000
MAGELLAN
KY
01
128686
APS
KY
01
179629
COMPSYCH
KY
01
239613
MHN
KY
01
4320227
AETNA
KY
01
6176262
UNITED BEHAVIORAL HEALTH
KY
01
87517
CIGNA
KY
Enumeration date
01/10/2006
Last updated
01/05/2011
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