| NPI | 1710270475 |
|---|---|
| Professional Name | TANNER M. BERGMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 6236) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2019-08-13 |