Bergeron, Debra S.
Bergeron, Debra S. is an individual health care provider with primary practice located at 6 Dixon Ave , Concord NH 03301-4944. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bergeron, Debra S. can be contacted via phone (603) 856-8163.Contact Information
Primary practice address
6 Dixon Ave
Concord NH 03301-4944
Phone: (603) 856-8163
Fax: (603) 856-8164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 521 | New Hampshire |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4606 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1154 | New Hampshire |
Profile Details
| NPI number | 1740528660 |
|---|---|
| LBN Legal business name | Bergeron, Debra S. |
| Credentials | PSY.D., LMHC, LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Jan 28th, 2013 - about 13 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.
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