Individual
DR. CLARENCE BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. PSYCHOLOGY
Contact information
Practice address
625 BELANGER ST, HOUMA, LA 70360-4437
(985) 851-6257
(985) 851-6065
Mailing address
625 BELANGER ST, HOUMA, LA 70360-4437
(985) 851-6257
(985) 851-6065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
455
LA
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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