ELIZABETH ANNE BERGENDAHL MHA IP
NPI 1043096241
Developmental Therapist in Clarkston, WA

Active since September 04, 2023
16047A HIGHWAY 12, CLARKSTON, WA 99403(360) 451-0267 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Anne Bergendahl Mha Ip NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANNE BERGENDAHL MHA IP (NPI 1043096241) is an individual developmental therapist in Clarkston, Washington and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1043096241
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameELIZABETH ANNE BERGENDAHLCredential: MHA IP
Location Address16047A HIGHWAY 12Clarkston, WA 99403-9753
Mailing Address16047a Highway 12Clarkston, WA 99403-9753 · (360) 451-0267
Sole ProprietorNo
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
NPI 1043096241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

16047A HIGHWAY 12, Clarkston, WA 99403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Bergendahl's NPI number?

The NPI number for Elizabeth Bergendahl is 1043096241. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Elizabeth Bergendahl located?

Elizabeth Bergendahl practices at 16047A Highway 12, Clarkston, WA 99403. The listed phone number is (360) 451-0267.

What is Elizabeth Bergendahl's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Bergendahl was last updated on September 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.