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SUSAN STILL BERGMAN MT-BC

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Music Therapist

Provider NPI: 1750501672

Provider Information:
 SUSAN STILL BERGMAN MT-BC
Gender: F
Not Sole Proprietor

Practice Location:
8080 MARGARET ANN AVE  BATON ROUGE, LA 70809-3444 US
Tel: 225-765-6041  Fax: --

Business Mailing Address:
213 S CARROLLTON AVE  BATON ROUGE, LA 70806-4404 US
Tel: 225-925-8784  Fax: --

NPI Information:
NPI: 1750501672
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Music Therapist

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225A00000X

Type:

Classification:



Definition:



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