Individual
JACIE NOELLE BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 349-7600
Mailing address
JACIE BERGERON, 501 MANHATTAN BLVD, HARVEY, LA 70058
(504) 437-7416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7655
LA
Other
Enumeration date
07/12/2019
Last updated
10/04/2022
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