Individual
DEBORAH BERNTSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
592 EXECUTIVE PL, SUITE 101, FAYETTEVILLE, NC 28305-5188
(910) 323-6006
(910) 323-1921
Mailing address
592 EXECUTIVE PL, SUITE 101, FAYETTEVILLE, NC 28305-5188
(910) 323-6006
(910) 323-1921
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326K
BLUE CROSS BLUE SHIELD
NC
05
—
6000722
—
NC
Enumeration date
01/16/2006
Last updated
07/08/2007
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