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NPI Code Detail

MEDICARE: DR. BRIAN NOEL BERNARD PHD

MEDICARE: DR. BRIAN NOEL BERNARD PHD
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 PsychologistPSB94026673CA

General Provider Information

NPI Number : 1811432347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN NOEL BERNARD PHD
Provider Business Mailing Address
First Line : 1111 N NAGLE ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3840
Country : US
Telephone Number : 530-708-8800
Fax Number : 530-233-4302
Provider Business Practice Location Address
First Line : 1111 N NAGLE ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3840
Country : US
Telephone Number : 530-708-8800
Fax Number : 530-233-4302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 05/17/2022

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