Bergum, Tamara E

Bergum, Tamara E is an individual health care provider with primary practice located at 15655 W County Road B , Hayward WI 54843-3251. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bergum, Tamara E can be contacted via phone (715) 634-0607.

Contact Information

Primary practice address
15655 W County Road B Hayward WI 54843-3251
Phone: (715) 634-0607
Fax: (715) 634-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 141-228 Wisconsin

Profile Details

NPI number 1972835601
LBN Legal business name Bergum, Tamara E
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2010
Last updated Feb 5th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972835601 NPPES
Wisconsin Other 141-228 WI DRL

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