Individual
BRENDA BERNAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
Mailing address
45 PARTRIDGE DR, SPRINGFIELD, MA 01119-2127
(413) 209-6775
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020
TUFTS
—
Enumeration date
04/28/2019
Last updated
04/28/2019
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