Individual
DR. DOUGLAS B. BERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PH.D.
Contact information
Practice address
13 BAKER RD, PORTSMOUTH, RI 02871-1708
(401) 293-0343
Mailing address
13 BAKER RD, PORTSMOUTH, RI 02871-1708
(401) 293-0343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
425
RI
103TP0814X
Psychoanalysis Psychologist
425
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3609-8192
AMERICAN PSYCHOLOGICAL ASSOCIATION
—
01
—
42653
COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY
—
01
—
LICENSE 425
STATE OF RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
01/02/2009
Last updated
03/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us