Individual
DR. BENJAMIN BRADLEY BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 WESTLINE DR, ALAMEDA, CA 94501-5847
(800) 257-8715
(800) 819-1655
Mailing address
842 52ND ST, OAKLAND, CA 94608-3206
(510) 654-2298
(510) 595-8520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY143060
—
CA
Enumeration date
07/20/2006
Last updated
07/08/2007
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