Individual
MATTHEW JOSEPH BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS-CCC-SLP
Contact information
Practice address
1350 CHESTNUT ST, MANCHESTER, NH 03104-1652
(603) 622-1968
Mailing address
1350 CHESTNUT ST, MANCHESTER, NH 03104-1652
(603) 622-1968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0889
NH
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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