Bergdahl, Stephen Alexander
Bergdahl, Stephen Alexander is an individual health care provider with primary practice located at 316 S Jefferson St , Moscow ID 83843-2936. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bergdahl, Stephen Alexander can be contacted via phone (208) 883-1144.Contact Information
Primary practice address
316 S Jefferson St
Moscow ID 83843-2936
Phone: (208) 883-1144
Fax: (208) 883-8062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-203202 | Idaho |
Profile Details
| NPI number | 1346615655 |
|---|---|
| LBN Legal business name | Bergdahl, Stephen Alexander |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2015 |
| Last updated | Oct 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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