Individual
DR. JEFFREY S BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, L.P.C.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
4021 FRONTGATE DR, COLUMBIA, MO 65203-2396
(913) 705-0033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2011032619
MO
101YP2500X
Professional Counselor
2011032619
MO
103TC0700X
Clinical Psychologist
Primary
2022009735
MO
Other
Enumeration date
08/06/2021
Last updated
04/07/2025
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