Douglas A. Bergstrom, Ph.D., Pllc

LBN: Douglas A. Bergstrom, Ph.D., Pllc
Douglas A. Bergstrom, Ph.D., Pllc is an health care organization with primary practice located at 143 E Merritt St , Prescott AZ 86301-2028. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Douglas A. Bergstrom, Ph.D., Pllc can be contacted via phone (928) 445-3835, or through Bergstrom, Douglas Alan via phone (928) 445-3835.

Contact Information

Primary practice address
143 E Merritt St Prescott AZ 86301-2028
Phone: (928) 445-3835
Fax: (928) 445-7071
Website:
Map and Directions
Authorized official contact:
Name: Bergstrom, Douglas Alan PH.D.
Phone: (928) 445-3835

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1142 Arizona

Profile Details

NPI number 1154501682
LBN Legal business name Douglas A. Bergstrom, Ph.D., Pllc
DBA Doing business as
Authorized official Bergstrom, Douglas Alan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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