Individual
MRS. RENEE LEE BERGGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-8200
Mailing address
10411 SW BRIDGET ST, AUGUSTA, KS 67010-8708
(316) 218-0063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10338
KS
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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