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Individual

DR. DONALD LEE BERNOVICH II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1101 E 78TH ST, SUITE 100, BLOOMINGTON, MN 55420-1400
(952) 854-5034
(952) 854-5363
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5949
MN

Other

Enumeration date
12/01/2008
Last updated
04/04/2016
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