Individual
MS. ANNE PATRICE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1900 CENTRACARE CIR STE 1000, SAINT CLOUD, MN 56303-5000
(320) 229-4976
(320) 229-5108
Mailing address
1900 CENTRACARE CIR STE 1000, SAINT CLOUD, MN 56303-5000
(320) 229-4976
(320) 229-5108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41-0695596
—
MN
Enumeration date
04/10/2018
Last updated
04/10/2018
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