Kathrine Bergmann

Individual provider Active NPI Speech-Language Pathologist · Laramie, WY

NPI 1669738456 · NPPES record last updated Apr 5, 2012

Key facts

NPI
1669738456
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
503 S 18TH St
Laramie, WY 82070-4303
Phone
(307) 742-3728
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

503 S 18TH St
Laramie, WY 82070-4303

Mailing address

2625 Nighthawk Dr
Laramie, WY 82072-1978

Other providers in Laramie, WY

All providers in Laramie, WY · Speech-Language Pathologist in Wyoming

Sources for this page

Verify at the official NPI Registry.