Individual
BROOKE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4000
Mailing address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06242
MD
Other
Enumeration date
12/10/2014
Last updated
06/02/2021
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