Bergdoll, Hava
Bergdoll, Hava is an sole proprietor health care provider with primary practice located at 945 E Haverford Rd Suite 202 A, Bryn Mawr PA 19010-3814. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bergdoll, Hava can be contacted via phone (610) 551-2534.Contact Information
Primary practice address
945 E Haverford Rd Suite 202 A
Bryn Mawr PA 19010-3814
Phone: (610) 551-2534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013104 | Pennsylvania |
Profile Details
| NPI number | 1255433884 |
|---|---|
| LBN Legal business name | Bergdoll, Hava |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Dec 14th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255433884 | NPPES |
| Pennsylvania | Other | 2321091000 | IBC |
| Pennsylvania | Other | 2321091000 | IBC |
| Pennsylvania | Other | 7404316 | IBC |
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