Bergendahl, Elizabeth Anne

Bergendahl, Elizabeth Anne is an individual health care provider with primary practice located at 16047A Highway 12 , Clarkston WA 99403-9753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Bergendahl, Elizabeth Anne can be contacted via phone (360) 451-0267.

Contact Information

Primary practice address
16047A Highway 12 Clarkston WA 99403-9753
Phone: (360) 451-0267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1043096241
LBN Legal business name Bergendahl, Elizabeth Anne
Credentials MHA IP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2023
Last updated Sep 4th, 2023 - about last year

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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