Individual
DR. BERNADETTE B D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ELIZABETH PL, SUITE G3, DAYTON, OH 45417-3445
(937) 281-0900
(937) 424-1052
Mailing address
1 ELIZABETH PL, SUITE G3, DAYTON, OH 45417-3445
(937) 281-0900
(937) 424-1052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648384
—
OH
Enumeration date
04/03/2007
Last updated
01/04/2012
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