Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARENCE BERGERON, PH.D. PSYCHOLOGY
Active Sole ProprietorDR. CLARENCE BERGERON, PH.D. PSYCHOLOGY is a Psychologist healthcare provider located in HOUMA, Louisiana. NPI 1629104872 is currently active in the NPPES registry. Verify at CMS.
Psychologist · HOUMA, LA
Registration Details
- NPI Number
- 1629104872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2007 (19.481093876074 yrs)
- Last Updated
- Jul 8, 2007
- License
-
455 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 BELANGER STHOUMA, LA, 703604437Browse LA providers · Browse ZIP 70360
- Phone
- 9858516257
- Fax
- 9858516065
- Primary Specialty
-
Psychologist
103T00000X
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.