Individual
ELLIOT HARVEY BERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1011 PENNSYLVANIA AVE, MATAMORAS, PA 18336-1713
(570) 491-4728
Mailing address
1011 PENNSYLVANIA AVE, PO BOX 188, MATAMORAS, PA 18336-1713
(570) 491-4728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS2791L
PA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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