NPI 1033464235 · live from the CMS NPI Registry
Michael M Bergsten, SLP
Speech-Language Pathologist, in Wichita, KS. National Provider Identifier 1033464235, active.
NPI record
| NPI | 1033464235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3223 N Oliver St, Wichita, KS 67220 |
| Practice phone | 316-558-3433 |
| Enumerated | July 13, 2012 |
| Last updated | July 13, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2788 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.