Tammy Lee Bergen
Pastoral Counselor
22 Us Oval Ste 100
Plattsburgh
, New York 12903-5901
Tammy Lee Bergen
Pastoral Counselor
22 Us Oval Ste 100
Plattsburgh
, New York 12903-5901
(518) 578-1442
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Tammy Lee Bergen
- 22 Us Oval Ste 100
- Plattsburgh, NY
- Zip : 12903-5901
- Phone : (518) 578-1442
Second Address
- Tammy Lee Bergen
- 22 Us Oval Ste 100
- Plattsburgh, NY
- Zip : 12903-5901
- Phone : (518) 578-1442
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | P13611 | NY |
National Provider Identifier
| NPI | 1265907943 |
|---|---|
| Provider Name | Tammy Lee Bergen |
| First Address | Plattsburgh, NY 12903-5901 |
| Second Address | Plattsburgh, NY 12903-5901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
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.