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Douglas A. Bergstrom, Ph.d., Pllc
Community/Behavioral Health Agency in Prescott, Arizona
NPI 1154501682

Douglas A. Bergstrom, Ph.d., Pllc is a Community/Behavioral Health Agency based in Prescott, AZ. Douglas A. Bergstrom, Ph.d., Pllc practices in Prescott, AZ. The NPI Number for Douglas A. Bergstrom, Ph.d., Pllc is 1154501682 and holds a License No. 1142 (Arizona).

The current practice location address for Douglas A. Bergstrom, Ph.d., Pllc is 143 E Merritt St, Prescott, AZ and can be reached out via phone at 928-445-3835 and via fax at 928-445-7071.

Location: 143 E Merritt St, Prescott, AZ, 86301-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154501682
Provider Name
Douglas A. Bergstrom, Ph.d., Pllc
Credential
Provider Entity Type
Organization
Address
143 E Merritt St, Prescott, AZ, 86301-2028
Phone Number
928-445-3835
Fax Number
928-445-7071
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
143 E Merritt St
City
Prescott
State
Arizona
Zip
86301-2028
Phone Number
928-445-3835
Fax Number
928-445-7071
person
Provider Business Mailing Address Details
Address
143 E Merritt St
City
Prescott
State
Arizona
Zip
86301-2028
Phone Number
928-445-3835
Fax Number
928-445-7071
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1142 (Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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