NPI 1407064140 · live from the CMS NPI Registry
Renee Lee Berggren, MA CCC-SLP
Speech-Language Pathologist, in Wichita, KS. National Provider Identifier 1407064140, active.
NPI record
| NPI | 1407064140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 929 N Saint Francis St, Wichita, KS 67214 |
| Practice phone | 316-268-8200 |
| Mailing address | 10411 Sw Bridget St, Augusta, KS 67010 |
| Enumerated | May 18, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 10338 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.