Individual
SAMANTHA BERGENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPAT, ATR-BC
Contact information
Practice address
728 SPRINGDALE DR, EXTON, PA 19341-2828
(610) 344-9600
Mailing address
113 E SUTTON PL, WILMINGTON, DE 19810-4112
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
16LP00019200
NJ
221700000X
Art Therapist
Primary
AT-0010008
DE
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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