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Contact Information

BETH BERGESON
165 N 1330 W STE A1
OREM, UT84057-5116
 Phone: 801-960-3040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health Worker

172V00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BETH BERGESON · (Female)

NPI Number 1215558648
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2020
Last updated 05/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 13302874-3502
  • UT License # 13302874-3503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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