Provider Demographics
NPI:1548461627
Name:BERGSTRESSER, NORBERT KEITH (MS)
Entity type:Individual
Prefix:
First Name:NORBERT
Middle Name:KEITH
Last Name:BERGSTRESSER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 PARKER LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-3234
Mailing Address - Country:US
Mailing Address - Phone:256-282-6904
Mailing Address - Fax:
Practice Address - Street 1:1200 NOBLE ST
Practice Address - Street 2:SUITE 120
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4659
Practice Address - Country:US
Practice Address - Phone:256-741-6178
Practice Address - Fax:256-741-6180
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor