NPI 1043096241
Elizabeth Anne Bergendahl, MHAIP
Practice location
- Address
- 16047a Highway 12, Clarkston, WA 99403-9753
- Phone
- (360) 451-0267
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1043096241
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Sep 2023
- Record last updated
- 4 Sep 2023
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.