Bergman, Kathleen G

Bergman, Kathleen G is an individual health care provider with primary practice located at 10267 Univ Ave N St 203, Blaine MN 55434. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bergman, Kathleen G can be contacted via phone (612) 210-0367.

Contact Information

Primary practice address
10267 Univ Ave N St 203 Blaine MN 55434
Phone: (612) 210-0367
Fax: (763) 786-5462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1469 Minnesota

Profile Details

NPI number 1912068834
LBN Legal business name Bergman, Kathleen G
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers