Individual
DR. BRENDA LOUISE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
306 W SUPERIOR ST, SUITE 608, DULUTH, MN 55802-1803
(218) 740-3060
(218) 740-3070
Mailing address
306 W SUPERIOR ST, SUITE 608, DULUTH, MN 55802-1803
(218) 740-3060
(218) 740-3070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1730
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358J2BE
BLUE CROSS
MN
01
—
61-24268
MEDICA
MN
05
—
806547100
—
MN
Enumeration date
08/10/2006
Last updated
07/14/2011
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