Individual
DR. GUILLERMO A BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
975 COMMERCE DR, PERRYSBURG, OH 43551-5228
(419) 874-0274
(419) 874-9960
Mailing address
975 COMMERCE DR, PERRYSBURG, OH 43551-5228
(419) 874-0274
(419) 874-9960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455510
—
OH
Enumeration date
09/12/2005
Last updated
10/22/2007
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