Individual
JESSICA BERGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
20806 W 54TH ST, SHAWNEE, KS 66218-9275
(913) 333-1238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2022038826
MO
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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