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MS. BERNADETTE TALABOC BERGANCIA M.S.CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1861532137
Individual Registrant:MS. BERNADETTE TALABOC BERGANCIA M.S.CCC-SLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
6037 LA GRANADA AVENUE SUITE D RANCHO SANTA FE, CA 92067 US
Tel: 858-699-0353 Fax: --
Tel: 858-699-0353 Fax: --
Contact information for business:
6037 LA GRANADA AVENUE, SUITE D RANCHO SANTA FE, CA 92067 US
Tel: 858-699-0353 Fax: --
Tel: 858-699-0353 Fax: --
Registration Information:
NPI: 1861532137
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | NY | 010039-1 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
