Elizabeth Bergeron

NPI 1205125697 - Counselor - 101YM0800X

NPI Details
NPI 1205125697
Gender Female
Enumeration Date 04/06/2011
Last Updated 04/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5965 S 900 E # 430
SALT LAKE CITY UT, 84121-1720, US
Phone (801) 263-7100
Fax
Business Location
5965 S 900 E # 430
SALT LAKE CITY UT, 84121-1720, US
Phone (801) 263-7100
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Utah
License Number 3120663503
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According to our database, Elizabeth Bergeron NPI is 1205125697, taxonomy code is 101YM0800X and license number is 3120663503, license state is located at Utah. Elizabeth Bergeron physically located at 5965 S 900 E # 430, Salt Lake City UT, 84121-1720. NPI Number Elizabeth Bergeron has the Individual type.

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1205125697 NPI number is provided on an as is basis without warranty of any kind. 1205125697 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Bergeron are for informational purposes only.