Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS ALAN BERGSTROM, PH.D.
Active Sole ProprietorDOUGLAS ALAN BERGSTROM, PH.D. is a Clinical Psychologist healthcare provider located in PRESCOTT, Arizona. NPI 1063536688 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PRESCOTT, AZ
Registration Details
- NPI Number
- 1063536688
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.380527946134 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1142 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
143 E MERRITT STPRESCOTT, AZ, 863012028Browse AZ providers · Browse ZIP 86301
- Phone
- 9284453835
- Fax
- 9284457071
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL FALLON | PSYD | 1952386708 |
| DR. KAREN LYNN SULLIVAN | — | 1619930526 |
| DR. ELAINE ARENA HODGE | EDD | 1730119942 |
| DR. DAVID DALE FERO | PH.D. | 1962433425 |
| DR. NANCY G BURNS | PSYD | 1871603225 |
| DR. AMY BETH WRABETZ | PH.D. | 1164529483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.