Pam Bergman
Individual provider Active NPI Clinical Psychologist · Raymore, MO
NPI 1942681747 · NPPES record last updated Jun 17, 2015
Key facts
- NPI
- 1942681747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 431032835 (MO)
- Practice address
- 1010 Remmington
Pathways
Raymore, MO 66401 - Phone
- (816) 318-4430
- NPI assigned
- Jun 17, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431032835 | MO | MD | Family Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 431032835 | MO | Yes |
| Family Psychologist | 103TF0000X | 431032835 | MO |
Addresses
Primary practice location
1010 Remmington
Pathways
Raymore, MO 66401
Mailing address
1010 Remmington
Pathways
Raymore, MO 66401
Phone (816) 318-4430
Other providers in Raymore, MO
- Kimberly R. Bailey
- Samantha Bamber-Hillyer
- Carol Anne Barnes
- Mark A Battist
- Timothy Michael Baylard
- Catherine A Besley
- Irfan Sarwar Bhatti
- April M Bishop
- BLC-Foxwood Springs, LLC
- Michelle Alise Bledsoe
All providers in Raymore, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2015. 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.