TAMMY LEE BERGEN NPI 1265907943

NPI Information

NPI: 1265907943
Provider Name: TAMMY LEE BERGEN
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
22 US OVAL STE 100
PLATTSBURGH, NY
ZIP 12903
Phone: (518) 578-1442
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Tammy Lee Bergen is a pastoral counselor in Plattsburgh, NY. Tammy Lee Bergen NPI is 1265907943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22 US OVAL STE 100
PLATTSBURGH, NY
ZIP 12903-901
Phone: (518) 578-1442

The enumeration date for this NPI number is 10/9/2018 and was last updated on 10/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	P13611	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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