Individual
ANNA BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
919 HAYWOOD RD, STE 101, DILLSBORO, NC 28725-0000
(828) 586-1612
(828) 586-0420
Mailing address
PO BOX 432, CULLOWHEE, NC 28723-0432
(828) 586-1612
(828) 586-0420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8414
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14006348
ASHA
NC
01
—
8414
NC STATE LICENSURE
NC
Enumeration date
04/05/2010
Last updated
04/05/2010
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