Individual
ANN BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 MILLWOOD, MILL VALLEY, CA 94941
(415) 383-6068
Mailing address
126 OAKDALE AVENUE, MILL VALLEY, CA 94941-5303
(415) 383-6068
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5958
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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