Organization
SANDY BERNSTEIN, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BERNSTEIN PH.D. (OWNER)
(954) 772-6677
Entity
Organization
Contact information
Practice address
6499 POWERLINE RD, SUITE 209, FT LAUDERDALE, FL 33309-2069
(954) 772-6677
(954) 772-6711
Mailing address
6499 POWERLINE RD, SUITE 209, FT LAUDERDALE, FL 33309-2069
(954) 772-6677
(954) 772-6711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 4910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59434
MEDICARE ID#
FL
Enumeration date
03/27/2012
Last updated
06/13/2012
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