Individual
DR. MICHAEL S. BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 NUECES ST, AUSTIN, TX 78701-2217
(512) 417-2723
Mailing address
803 WEST AVE, AUSTIN, TX 78701-2207
(512) 417-2723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33417
TX
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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