Individual
KAYCEE BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(508) 753-2967
Mailing address
22 WILLARD AVE, APT 1, SHREWSBURY, MA 01545-5264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7852
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7852
MA STATE LICENSE
MA
Enumeration date
06/22/2010
Last updated
06/22/2010
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