Provider Demographics
NPI:1790715019
Name:BERGMANS, ROBYN ELIZABETH (MS)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:ELIZABETH
Last Name:BERGMANS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:ELIZABETH
Other - Last Name:HAUGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:415 E CITRUS AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5218
Mailing Address - Country:US
Mailing Address - Phone:909-793-2631
Mailing Address - Fax:909-792-2413
Practice Address - Street 1:415 E CITRUS AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5218
Practice Address - Country:US
Practice Address - Phone:909-793-2631
Practice Address - Fax:909-792-2413
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2012231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist