Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDMOND X BERGERON III, M.P.
ActivePrescribing Psychologist · NEW IBERIA, LA
Registration Details
- NPI Number
- 1235211798
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.502634947957 yrs)
- Last Updated
- Oct 22, 2019
- Licenses
-
606MP (LA)606MP (LA)
Practice Information
- Address
-
806 JEFFERSON TERNEW IBERIA, LA, 705605727Browse LA providers · Browse ZIP 70560
- Phone
- 3373654945
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
- Additional Specialty
- Prescribing Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.