| Bergdahl Assessment & Psychotherapy, Pllc | |
|
2254 Westview Dr Moscow ID 83843-9623 | |
| (559) 288-1747 | |
| Not Available |
| Full Name | Bergdahl Assessment & Psychotherapy, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2254 Westview Dr, Moscow, Idaho |
| Authorized Official Name and Position | Stephen A Bergdahl (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5592881747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergdahl Assessment & Psychotherapy, Pllc 2254 Westview Dr Moscow ID 83843-9623 Ph: (559) 288-1747 | Bergdahl Assessment & Psychotherapy, Pllc 2254 Westview Dr Moscow ID 83843-9623 Ph: (559) 288-1747 |
| NPI Number | 1568258457 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568258457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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