Individual
DR. VICKIE LYNN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
20600 EUREKA ROAD, SUITE 819, TAYLOR, MI 48180
(734) 285-8282
(734) 281-0402
Mailing address
38284 KLARR DRIVE, NORTHVILLE, MI 48167
(248) 476-6885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008768
MI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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