Individual
SAM DAVID BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., PH.D.
Contact information
Practice address
6148 LEE HWY, SUITE 208, CHATTANOOGA, TN 37421-2994
(423) 322-3297
(423) 370-0018
Mailing address
212 BRENTLY WOODS DR, CHATTANOOGA, TN 37421-4454
(423) 322-3297
(423) 370-0018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27004 NBCC
—
103TC0700X
Clinical Psychologist
Primary
PE1378
TN
Other
Enumeration date
12/18/2006
Last updated
12/30/2014
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