Elizabeth Anne Bergendahl, MHA IP

NPI #1043096241 in Clarkston, Washington

Provider Information

NPI Number: 1043096241
Entity Type: Individual
Name: Elizabeth Anne Bergendahl, MHA IP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: MHA IP
Enumeration Date: Sep 4, 2023
Last Updated: Sep 4, 2023

Practice Location

Address: 16047A HIGHWAY 12
City: Clarkston
State: Washington
ZIP Code: 99403-9753
Phone: (360) 451-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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