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MS. BERNADETTE TALABOC BERGANCIA M.S.CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1861532137

Individual Registrant:
MS. BERNADETTE TALABOC BERGANCIA M.S.CCC-SLP
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: --

Contact information for business:
6037 LA GRANADA AVENUE, SUITE D  RANCHO SANTA FE, CA 92067 US
Tel: 858-699-0353  Fax: --

Registration Information:
NPI: 1861532137
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
NY010039-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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