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NPI Code Detail

MEDICARE: DR. MONICA DORIS BERNELL PSY.D.

MEDICARE: DR. MONICA DORIS BERNELL PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist7694MA

General Provider Information

NPI Number : 1528029931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA DORIS BERNELL PSY.D.
Provider Business Mailing Address
First Line : 22 MILL STREET
Second Line : SUITE 405
City : ARLINGTON
State : MA
Zip : 02476-4744
Country : US
Telephone Number : 781-523-5636
Fax Number : 781-532-4220
Provider Business Practice Location Address
First Line : 22 MILL STREET
Second Line : SUITE 405
City : ARLINGTON
State : MA
Zip : 02476-4744
Country : US
Telephone Number : 781-523-5636
Fax Number : 781-532-4220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 02/15/2022

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