Individual
SHEENA LYNN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5719 SHASTA WAY, KLAMATH FALLS, OR 97603-5157
(541) 331-4616
Mailing address
5719 SHASTA WAY, KLAMATH FALLS, OR 97603-5157
(541) 331-4616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32819
CA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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