Search › Connecticut › 103K00000X
Tanisha Bergeron, MA.CCC-SLP
NPI 1285910638 · on the registry since 2011 · sole proprietor
Practice
- Address
- 6 School Rd
Moodus, CT 06469 - Phone
- (860) 638-8612
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 235Z00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut