Individual
MRS. DIANE L BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 EVANS AVE, VALPARAISO, IN 46383-6940
(219) 462-0786
(219) 548-7543
Mailing address
179 SHOREWOOD DR, VALPARAISO, IN 46385-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004642A
IN
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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