Individual provider · Type 1 NPI
Elizabeth Anne Bergendahl, MHA IP
Developmental Therapist · Clarkston, WA
Practice location
16047A Highway 12
Clarkston, WA 99403-9753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
Other developmental therapist providers in Clarkston
About NPI 1043096241
Elizabeth Anne Bergendahl, MHA IP's National Provider Identifier is 1043096241, issued on Sep 4, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Clarkston, WA. The record was last updated on Sep 4, 2023.