Organization
VICKIE L. BERGEN, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE L BERGEN PHD (CLINICAL PSYCHOLOGIST)
(248) 444-7711
Entity
Organization
Contact information
Practice address
25882 ORCHARD LAKE RD, SUITE 210, FARMINGTON HILLS, MI 48336-1292
(248) 444-7711
Mailing address
25882 ORCHARD LAKE RD, SUITE 210, FARMINGTON HILLS, MI 48336-1292
(248) 444-7711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008768
MI
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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