Jim W Berngen
Rehabilitation Psychologist
208 Georgia Pl
Poteau
, Oklahoma 74953-2004
Jim W Berngen
Rehabilitation Psychologist
208 Georgia Pl
Poteau
, Oklahoma 74953-2004
(918) 658-3909
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Jim W Berngen
- 208 Georgia Pl
- Poteau, OK
- Zip : 74953-2004
- Phone : (918) 658-3909
Second Address
- Jim W Berngen
- 208 Georgia Pl
- Poteau, OK
- Zip : 74953-2004
- Phone : (918) 658-3909
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist | OK |
National Provider Identifier
| NPI | 1588984496 |
|---|---|
| Provider Name | Jim W Berngen |
| First Address | Poteau, OK 74953-2004 |
| Second Address | Poteau, OK 74953-2004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2010 |
| Last Update Date | 03/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.