Active NPIOrganization

Jennifer Bergman Ms Ccc LLC

Speech-Language Pathologist, in Marlton, New Jersey

NPI Number1558562199
Practice location
475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098
Fax
—
Last updated
August 22, 2020

Jennifer Bergman Ms Ccc LLC is a healthcare organization based in Marlton, NJ. Jennifer Bergman Ms Ccc LLC practices in Marlton, NJ. The NPI Number for Jennifer Bergman Ms Ccc LLC is 1558562199 and holds a License No. 41YS00090300 (NJ). The current practice location address for Jennifer Bergman Ms Ccc LLC is 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 and can be reached out via phone at 856-983-6160.

Provider Profile Details

NPI Number
1558562199
Provider Name
Jennifer Bergman Ms Ccc LLC
Provider Entity Type
Organization
Address
475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098
Phone Number
856-983-6160
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Organization Subpart
No
Authorized Official
Ms. Jennifer Bergman, MS · President · 856-983-6160
Provider Enumeration Date
May 30, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Old Marlton Pike W
Suite 1
Marlton, NJ 08053-2098
Zip
08053-2098
Phone Number
856-983-6160
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
475 Old Marlton Pike W
Suite 1
Marlton, NJ 08053-2098
City
Marlton
State
NJ
Zip
08053-2098
Phone Number
856-983-6160

License Information

License Number
41YS00090300
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Bergman Ms Ccc LLC?

The NPI number of Jennifer Bergman Ms Ccc LLC is 1558562199. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer Bergman Ms Ccc LLC?

Jennifer Bergman Ms Ccc LLC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00090300.

Where does Jennifer Bergman Ms Ccc LLC practice?

The practice location is 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098. The office can be reached at 856-983-6160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558562199 directly on the NPPES registry website.

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