IndividualActive
Elizabeth Bergendahl, MHA IP
NPI 1043096241 · Developmental Therapist · Clarkston, WA
Provider details
- NPI number
- 1043096241
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MHA IP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
16047a Highway 12
Clarkston, WA 99403-9753
Phone: (360) 451-0267
Approximate (ZIP-level) locationGet directions
Mailing address
16047a Highway 12
Clarkston, WA 99403-9753
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
- Certified
- 2023-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.