Provider Demographics
NPI:1225200553
Name:BERGIN, CATHLEEN ESTHER (EDD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:ESTHER
Last Name:BERGIN
Suffix:
Gender:F
Credentials:EDD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 8TH ST N
Mailing Address - Street 2:DEPT OF OTOLARYNGOLOGY
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5519
Mailing Address - Country:US
Mailing Address - Phone:239-649-3394
Mailing Address - Fax:239-213-2276
Practice Address - Street 1:400 8TH ST N
Practice Address - Street 2:DEPT OF OTOLARYNGOLOGY
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5519
Practice Address - Country:US
Practice Address - Phone:239-649-3394
Practice Address - Fax:239-213-2276
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist