Most Relevant Information
Provider Data
| NPI Number: | 1003369950 |
| Provider Name: | CARIANN M BERGNER-MOORE PSYD/PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 16-13P |
Most Important Dates
| Enumeration Date: | 07/27/2016 |
| Last Updated: | 07/28/2016 |
Provider Practice Location
1312 DONAGHEY AVE
CONWAY
AR
720343807
Practice Location Phone/Fax
| Phone: | 5013586606 |
| Fax: |
Provider Mailing Location
1312 DONAGHEY AVE
CONWAY
AR
720343807
Provider Mailing Phone/Fax
| Phone: | 5013586606 |
| Fax: |