Individual
DR. KATHLEEN RAE BERGESON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11 REITZ BLVD, LEWISBURG, PA 17837-9293
(570) 524-0881
(570) 524-9738
Mailing address
11 REITZ BLVD, LEWISBURG, PA 17837-9293
(570) 524-0881
(570) 524-9738
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012260
NY
103TC0700X
Clinical Psychologist
PS015237
PA
Other
Enumeration date
06/30/2005
Last updated
09/11/2025
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