Individual provider · Type 1 NPI

Douglas Alan Bergstrom, PhD

Clinical Psychologist · Prescott, AZ

NPI number 1063536688 Active

Practice location

143 E Merritt St
Prescott, AZ 86301-2028

Call (928) 445-3835 Map

Fax (928) 445-7071

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1142 (AZ)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1063536688

Douglas Alan Bergstrom, PhD's National Provider Identifier is 1063536688, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.