Individual
MICHELLE L BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N 8TH ST STE 350, LINCOLN, NE 68508-1429
(531) 500-3623
Mailing address
2711 SUMNER ST, LINCOLN, NE 68502-3139
(402) 440-4065
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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