NPI 1134605421 · live from the CMS NPI Registry
Lisa Ann Bergeson, SLP
Speech-Language Pathologist, in Overland Park, KS. National Provider Identifier 1134605421, active.
NPI record
| NPI | 1134605421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 7235 W 162nd Ter, Overland Park, KS 66085 |
| Practice phone | 913-257-5808 |
| Enumerated | July 19, 2018 |
| Last updated | July 19, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2610 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.