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NPI Profile for THOMAS A BERGVIK in HAMDEN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1265762827 |
|
| Status | Active | |
| Credentials | MA, LPC | |
| Entity | Individual | |
| Enumeration date | 01/05/2010 | |
| Last updated | 02/03/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THOMAS A BERGVIK
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THOMAS A BERGVIK, MA, LPC