Jennifer Lynn Bergman, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Yorktown Heights, NY
NPI 1679725840 · NPPES record last updated Oct 19, 2008
Key facts
- NPI
- 1679725840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 006650-1 (NY)
- Practice address
- 500 Manchester Rd
Yorktown Heights, NY 10598-1204 - Phone
- (914) 962-2772
- Fax
- (914) 962-2772
- NPI assigned
- Oct 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006650-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric-Speech Language Therapy, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 006650-1 | NY | Yes |
Addresses
Primary practice location
500 Manchester Rd
Yorktown Heights, NY 10598-1204
Mailing address
500 Manchester Rd
Yorktown Heights, NY 10598-1204
Phone (914) 962-2772
Other providers in Yorktown Heights, NY
- Marianna C Beck
- Jay A Begleiter
- Mila Belgrade
- Jennifer Marie Belluomo
- Stanford Bennett
- George Ellis Berk
- Robert J Bernasek
- Bernice B Bernhard
- Amy Bernstein
- Martin Bernstein
All providers in Yorktown Heights, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2008. 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.