Individual
GRETCHEN BERGSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
(928) 779-2822
Mailing address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10189
AZ
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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