Individual
JENNA BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(866) 745-2273
Mailing address
435 TURNBERRY CT, BEAR, DE 19701-4727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0001272
DE
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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