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NPI Code Detail

MEDICARE: DEANNA MARIE BERNARD MSW

MEDICARE: DEANNA MARIE BERNARD MSW
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
11041C0700XClinical Social WorkerASW #26476CA

General Provider Information

NPI Number : 1861527202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA MARIE BERNARD MSW
Provider Business Mailing Address
First Line : 2275 ARLINGTON DR.
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94578
Country : US
Telephone Number : 510-317-1437
Fax Number :
Provider Business Practice Location Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-653-5040
Fax Number : 510-653-6475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/24/2009

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Directions to “ DEANNA MARIE BERNARD MSW” Practice Location

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