NPI 1053660753 · live from the CMS NPI Registry
Aaron Leslie Bergman, PHD
Psychologist, Clinical in Denver, CO. National Provider Identifier 1053660753, active.
NPI record
| NPI | 1053660753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3055 Roslyn St Unit 100, Denver, CO 80238 |
| Practice phone | 720-848-0000 |
| Mailing address | Po Box 110429, Aurora, CO 80042 |
| Enumerated | September 10, 2012 |
| Last updated | November 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical primary | 103TC0700X | PSY.0005657 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.