Individual
DR. STEPHEN ALEXANDER BERGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
530 S ASBURY ST STE 4A, MOSCOW, ID 83843-2243
(208) 310-2266
(888) 830-7441
Mailing address
530 S ASBURY ST STE 4A, MOSCOW, ID 83843-2243
(208) 310-2266
(888) 830-7441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203202
ID
Other
Enumeration date
12/11/2015
Last updated
08/22/2025
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