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 |