MR. FREDERICK DOUGLAS BERGH PPC NPI 1568940211

NPI Information

NPI: 1568940211
Provider Name: MR. FREDERICK DOUGLAS BERGH, PPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1541 DIAMOND DR
CASPER, WY
ZIP 82601
Phone: (720) 484-1961
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MR. Frederick Douglas Bergh, PPC is a mental health counselor in Casper, WY. MR. Frederick Douglas Bergh, PPC NPI is 1568940211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1541 DIAMOND DR
CASPER, WY
ZIP 82601-247
Phone: (720) 484-1961

The enumeration date for this NPI number is 8/3/2018 and was last updated on 2/18/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	PAT-084	WYOMING	No
2	101YM0800X	Counselor	Mental Health	PPC-1120	WYOMING	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: 4/28/2024

NPI Synchronization or Removal

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