Penelope Bergeron, LCSW

NPI 1457719924 · on the registry since 2016 · sole proprietor

Practice

Address: 315 S 100 E
Provo, UT 84606
Phone: (801) 318-7037
Organisation at this address: Utah County
Jill Sabin Smart, Lcsw
Utah'S Children'S Justice Center Program, Utah County
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-01-29

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 Utah