Hannah Ellen Bergman, PHD
Individual provider Active NPI Clinical Psychologist · Bozeman, MT
NPI 1104468370 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1104468370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY60812437 (WA)
- Practice address
- 300 N Willson Ave Ste 703G
Bozeman, MT 59715-3551 - Phone
- (406) 582-5312
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60812437 | WA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60812437 | WA | Yes |
Addresses
Primary practice location
300 N Willson Ave Ste 703G
Bozeman, MT 59715-3551
Mailing address
300 N Willson Ave Ste 703G
Bozeman, MT 59715-3551
Other providers in Bozeman, MT
- Samantha Nicole Benzing
- Allegra Rose Bereszniewicz
- Joy Melinda Bergh
- Becky Sue Berglund
- Donald Alf Berglund
- Paul Michael Berkram
- Ashley T Berlett
- Christopher Lee Berman
- Kevin Forrest Bernard
- Mary Margaret Bertagnolli
All providers in Bozeman, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.