NPI 1154501682
Douglas A. Bergstrom, PH.D., PLLC
Practice location
- Address
- 143 E Merritt St, Prescott, AZ 86301-2028
- Phone
- (928) 445-3835
- Fax
- (928) 445-7071
Authorised official
- Name
- Douglas Alan Bergstrom
- Title
- Psychologist
- Phone
- (928) 445-3835
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1154501682
- Entity type
- Organization
- NPI issued
- 13 Nov 2007
- Record last updated
- 13 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.