DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS A. BERGSTROM, PH.D., PLLC

Active Organization

DOUGLAS A. BERGSTROM, PH.D., PLLC is a Community/Behavioral Health organization located in PRESCOTT, Arizona. NPI 1154501682 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PRESCOTT, AZ

Registration Details

NPI Number
1154501682
Provider Type
Organization
NPI Issued
Nov 13, 2007 (18.789023228784 yrs)
Last Updated
Nov 13, 2007
License
1142 (AZ)

Practice Information

Address
143 E MERRITT ST
PRESCOTT, AZ, 863012028
Browse AZ providers · Browse ZIP 86301
Phone
9284453835
Fax
9284457071
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.