Individual
PAULA J BERGLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
351
ND
2084N0400X
Neurology Physician
Primary
351
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068760000
—
MN
05
—
11916
—
ND
Enumeration date
07/16/2006
Last updated
02/23/2026
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