Individual
DR. CAROLL ANN BERNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., J.D.
Contact information
Practice address
77 WAINWRIGHT DR, BUILDING 69, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
278 NW LAURELLA LN, COLLEGE PLACE, WA 99324-1265
(970) 319-5564
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004131
IL
103TC0700X
Clinical Psychologist
3215
CO
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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