NPI 1578299129 · live from the CMS NPI Registry
Sheena Lynn Bergeron
Speech-Language Pathologist, in Klamath Falls, OR. National Provider Identifier 1578299129, active.
NPI record
| NPI | 1578299129 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5719 Shasta Way, Klamath Falls, OR 97603 |
| Practice phone | 541-331-4616 |
| Enumerated | July 26, 2022 |
| Last updated | July 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 32819 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.