SearchArizonaClinical Psychologist

Douglas Bergstrom, PH.D

NPI 1063536688 · on the registry since 2007 · sole proprietor

Practice

Address
143 E Merritt St
Prescott, AZ 86301
Phone
(928) 445-3835
Fax
(928) 445-7071
Organisation at this address
Performance Fallon Inc
Wagner & Associates Pllc
Douglas A. Bergstrom, Ph.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona