Individual
BERNARD M BANDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(802) 447-0037
(802) 442-8721
Mailing address
160 BENMONT AVE, PO BOX 1129, BENNINGTON, VT 05201-1873
(802) 447-0037
(802) 442-8721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000008
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002831
—
VT
01
—
0007270183
AETNA
VT
01
—
1018438
CIGNA
VT
01
—
2831
BLUE CROSS
VT
01
—
41805
MOHAWK VALLEY PLAN
VT
01
—
A097300
CDPHP
VT
Enumeration date
05/24/2006
Last updated
07/08/2007
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