Individual provider · Type 1 NPI

Regina Rae Bergman

Developmental Therapist · Quincy, IL

NPI number 1992086276 Active

Practice location

1707 S 46th St
Quincy, IL 62305-9058

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1992086276

Regina Rae Bergman's National Provider Identifier is 1992086276, issued on Aug 31, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Quincy, IL. The record was last updated on Aug 31, 2011.