Bonnie Ann Berglund, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Le Sueur, MN
NPI 1457764441 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1457764441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8558 (MN)
- Practice address
- 325 S Main St
Le Sueur, MN 56058-2023 - Phone
- (612) 701-0074
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8558 | MN | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8558 | MN | Yes |
Addresses
Primary practice location
325 S Main St
Le Sueur, MN 56058-2023
Mailing address
325 S Main St
Le Sueur, MN 56058-2023
Phone (612) 701-0074
Other providers in Le Sueur, MN
- Anderson Orthodontics
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- Jason Berberich
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- Kelsey Lynn Colvin
- Cura of Le Sueur LLC
- Darrian Lei Dimmel
- Brett Dresow
All providers in Le Sueur, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. 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.