DOUGLAS A. BERGSTROM, PH.D., PLLC

PRESCOTT, AZ
NPI1154501682
Entity TypeOrganization
Authorized ContactDOUGLAS ALAN BERGSTROM
Psychologist
928-445-3835
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: AZ  1142)
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
DOUGLAS A. BERGSTROM, PH.D., PLLC
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-3835
Mailing Address
DOUGLAS A. BERGSTROM, PH.D., PLLC
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-3835
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