Healthcare Provider Details

I. General information

NPI: 1821685330
Provider Name (Legal Business Name): BERNIER NEUROPSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29605 US HIGHWAY 19 N STE 310
CLEARWATER FL
33761-1540
US

IV. Provider business mailing address

29605 US HIGHWAY 19 N STE 310
CLEARWATER FL
33761-1540
US

V. Phone/Fax

Practice location:
  • Phone: 727-332-9535
  • Fax:
Mailing address:
  • Phone: 727-332-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: VIVIANA J FIGUEROA BERNIER
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 727-332-9535