LAURIE L. BERGNER

BLOOMINGTON, IL
NPI1164538393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071002227)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Dr. LAURIE L. BERGNER Ph.D.
901 E GROVE ST
BLOOMINGTON, IL 61701-4200
Phone number: 309-828-6821
Mailing Address
Dr. LAURIE L. BERGNER Ph.D.
502 S BLAIR DR
NORMAL, IL 61761-3110
Phone number: 309-454-3113