Provider Demographics
NPI:1255423653
Name:BERGMAN, LLOYD ARTHUR II (LPC)
Entity type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:ARTHUR
Last Name:BERGMAN
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9670 DRIPPING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-4382
Mailing Address - Country:US
Mailing Address - Phone:903-463-1193
Mailing Address - Fax:
Practice Address - Street 1:9670 DRIPPING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-4382
Practice Address - Country:US
Practice Address - Phone:903-463-1193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3536101YM0800X
TX1417101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health