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NPI Code Detail

MEDICARE: DR. MICHAEL BERNATH

MEDICARE: DR. MICHAEL BERNATH
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 PsychologistPSY 16049CA

General Provider Information

NPI Number : 1982738654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL BERNATH
Provider Business Mailing Address
First Line : 1521 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1422
Country : US
Telephone Number : 510-981-5290
Fax Number :
Provider Business Practice Location Address
First Line : 1521 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1422
Country : US
Telephone Number : 510-981-5290
Fax Number : 510-486-8014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 12/15/2020

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