Douglas A. Bergstrom, Ph.D., Pllc in Prescott - Community/behavioral Health
Douglas A. Bergstrom, Ph.D., Pllc - NPI 1154501682
Douglas A. Bergstrom, Ph.D., Pllc is a Community/behavioral Health in Prescott, Arizona. Douglas A. Bergstrom, Ph.D., Pllc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Douglas A. Bergstrom, Ph.D., Pllc is 1154501682. The last update date is 2007-11-13.
Douglas A. Bergstrom, Ph.D., Pllc's current location address is 143 E Merritt St, Prescott, Arizona. You can contact this provider via phone number 9284453835 and fax number 9284457071. The mailing address for Douglas A. Bergstrom, Ph.D., Pllc is 143 E Merritt St, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas A. Bergstrom, Ph.D., Pllc |
|---|---|
| Address | 143 E Merritt St, Prescott, Arizona |
| Phone Number | 9284453835 |
| Fax Number | 9284457071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Bergstrom Alan Douglas |
| Credentials | PH.D. |
| Telephone Number | 9284453835 |
NPI Number Detail
| NPI Number | 1154501682 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 143 E Merritt St |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863012028 |
| Phone Number | 9284453835 |
| Fax Number | 9284457071 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 1142 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Douglas A. Bergstrom, Ph.D., Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas A. Bergstrom, Ph.D., Pllc has been assigned the NPI (National Provider Identifier) 1154501682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Douglas A. Bergstrom, Ph.D., Pllc located?
The Douglas A. Bergstrom, Ph.D., Pllc is located at 143 E Merritt St, Prescott, AZ 863012028.
What is Douglas A. Bergstrom, Ph.D., Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas A. Bergstrom, Ph.D., Pllc is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154501682 to Douglas A. Bergstrom, Ph.D., Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1154501682 to Douglas A. Bergstrom, Ph.D., Pllc on 2007-11-13.
As of what date were the Douglas A. Bergstrom, Ph.D., Pllc's details last updated?
The information pertaining to the Douglas A. Bergstrom, Ph.D., Pllc, including its address, specialty, and other details, was most recently updated on 2007-11-13.
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