Individual
CARLY ELLEN BERGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12148834
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12148834
AMERICAN SPEECH PATHOLOGY ASSOCIATION
CO
Enumeration date
06/08/2011
Last updated
06/08/2011
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