Individual
DR. CHRISTINE CELESTE BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
4141 S HULEN ST, APT. 1134, FORT WORTH, TX 76109-4970
(319) 530-7469
Mailing address
4141 S HULEN ST, APT. 1134, FORT WORTH, TX 76109-4970
(319) 530-7469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01459
IA
235Z00000X
Speech-Language Pathologist
Primary
106342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106342
TEXAS STATE LICENSE-SPEECH-LANGUAGE PATHOLOGIST
TX
Enumeration date
04/06/2007
Last updated
07/29/2014
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