Douglas A. Bergstrom, Ph.d., Pllc

NPI #1154501682 in Prescott, Arizona

Provider Information

NPI Number
1154501682
Entity Type
Organization
Organization Name
Douglas A. Bergstrom, Ph.d., Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 13, 2007
Last Updated
Nov 13, 2007

Practice Location

Address
143 E MERRITT ST
State
Arizona
ZIP Code
86301-2028
Phone
(928) 445-3835

Authorized Official

Name
DOUGLAS ALAN BERGSTROM, PH.D.
Title
PSYCHOLOGIST
Phone
(928) 445-3835

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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