DOUGLAS ALAN BERGSTROM

PRESCOTT, AZ
NPI1063536688
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AZ  1142)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- DOUGLAS ALAN BERGSTROM Ph.D.
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-3835
Mailing Address
-- DOUGLAS ALAN BERGSTROM Ph.D.
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-3835
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