Individual
MS. PAULETTE MARIE BERGOUNOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
29313 N. 128TH LN, PEORIA, AZ 85383-2841
(916) 203-3551
(623) 225-7941
Mailing address
29313 N 128TH LN, PEORIA, AZ 85383-5245
(916) 203-3551
(623) 225-7941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7729
AZ
Other
Enumeration date
07/26/2012
Last updated
05/15/2013
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