Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN LOUISE BERGMAN
ActiveGWENDOLYN LOUISE BERGMAN is a Behavior Analyst healthcare provider located in FORT RECOVERY, Ohio. NPI 1265847958 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · FORT RECOVERY, OH
Registration Details
- NPI Number
- 1265847958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2014 (12.176935411146 yrs)
- Last Updated
- Jun 22, 2014
- License
-
OH3128822 (OH)
Practice Information
- Address
-
117 E BROADWAY ST LOT 49FORT RECOVERY, OH, 458469318Browse OH providers · Browse ZIP 45846
- Phone
- 4199531789
- Primary Specialty
-
Behavior Analyst
103K00000X
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.