Individual
ELLIS BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3336 E BRIARCLIFF RD, MOUNTAIN BRK, AL 35223-1307
(205) 478-9492
Mailing address
3336 E BRIARCLIFF RD, MOUNTAIN BRK, AL 35223-1307
(205) 478-9492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PSY004430
GA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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