Organization
CENTER ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL BERGMAN PSYCHOLOGIST (CEO)
(641) 752-1585
Entity
Organization
Contact information
Practice address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Mailing address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001734
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058230
—
IA
Enumeration date
01/17/2014
Last updated
01/17/2014
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