Jon A. Bergeron Jr., P.H.D.

Clinical Psychologist · College Station, TX

Individual Active NPI

NPI number 1568422707

Practice location

16741 Woodlake Dr
College Station, TX 77845-8273
Phone
(979) 575-5198

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NPI record

NPI
1568422707
Entity type
Individual (Type 1)
Enumeration date
March 23, 2006
Last updated
November 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 31998 TX

About Dr. Bergeron

Jon A. Bergeron Jr., P.H.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 16741 Woodlake Dr, College Station, TX 77845-8273. The NPI number 1568422707 was assigned on March 23, 2006 and the record was last updated on November 25, 2013.

Dr. Bergeron lists a license in the registry: #31998 (TX) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon A. Bergeron Jr., P.H.D.?

The NPI number is 1568422707.

What is the phone number of Dr. Bergeron?

The phone number listed for the practice location is (979) 575-5198.

Where is Dr. Bergeron located?

16741 Woodlake Dr, College Station, TX 77845-8273.

What is the taxonomy code for Dr. Bergeron?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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