NPI 1497856637

Susan Diane Bergen, MALMFT

Practitioner Marriage & Family Therapist Twin Falls, ID

Practice location

Address: 647 Filer Ave, Twin Falls, ID 83301-4008
Phone: (208) 737-9999
Fax: (208) 736-4400
Mailing address: 225 Long Island Ave, Twin Falls, ID 83301-3096

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT-2962 (ID)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1497856637
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.