Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Anne Bergendahl, MHAIP

Individual provider Developmental Therapist · NPI 1043096241

Elizabeth Anne Bergendahl, MHAIP is a Developmental Therapist in Clarkston, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

16047A Highway 12
Clarkston, WA 99403-9753
Phone: (360) 451-0267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1043096241
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHAIP
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023

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