Individual
DR. FELICIA MARIE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5851 PEARL RD, #305, PARMA HEIGHTS, OH 44130-2113
(440) 845-9011
(440) 845-9013
Mailing address
5851 PEARL RD, SUITE 305, PARMA HEIGHTS, OH 44130-2113
(440) 845-9011
(440) 845-9013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000812656
ANTHEM
OH
05
—
0084889
—
OH
01
—
H186570
MEDICARE PTAN
—
Enumeration date
04/04/2013
Last updated
08/27/2019
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