Individual
MALCOLM BERNSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
3521 MILKY WAY, SHREVEPORT, LA 71119-5007
(318) 518-3668
Mailing address
3521 MILKY WAY, SHREVEPORT, LA 71119-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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