Healthcare Provider Details

I. General information

NPI: 1780673673
Provider Name (Legal Business Name): BARBARA A BERNHARDT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE ST 535 MALONEY BLDG
PHILADELPHIA PA
19104-4206
US

IV. Provider business mailing address

201 LOCUST ST
MOORESTOWN NJ
08057-2333
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-4740
  • Fax:
Mailing address:
  • Phone: 856-231-1363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: