Organization
BERGDAHL ASSESSMENT & PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A BERGDAHL PHD (CLINICAL PSYCHOLOGIST)
(559) 288-1747
Entity
Organization
Contact information
Practice address
530 S ASBURY ST STE 4A, MOSCOW, ID 83843-2243
(208) 310-2266
(888) 830-7441
Mailing address
2254 WESTVIEW DR, MOSCOW, ID 83843-9623
(559) 288-1747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
08/22/2025
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