Individual provider · Type 1 NPI
Kelly Ann Bergstrom, PhD
Psychologist · Milwaukee, WI
Practice location
5000 W National Ave
Milwaukee, WI 53295-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 541157 (WI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1063399962
Kelly Ann Bergstrom, PhD's National Provider Identifier is 1063399962, issued on Aug 20, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 20, 2025.