Individual
DR. NICOLETTE MARIE BERNHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 538-5661
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 538-5661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.003966
IL
103TC0700X
Clinical Psychologist
Primary
071.008846
IL
Other
Enumeration date
08/05/2009
Last updated
02/16/2021
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