Individual
DENISE P BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
710 CLEVELAND AVE, FREMONT, OH 43420-3224
(419) 334-6630
Mailing address
1314 BUCHMAN RD, FREMONT, OH 43420-3141
(937) 417-1142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 460
OH
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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