Individual
OLIVIA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
1960 CRESTWOOD DR, PLAIN, WI 53577-9633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4361-154
WI
Other
Enumeration date
09/06/2016
Last updated
12/10/2024
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