Individual
GWENDOLYN A. BERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1218 TERRACE MILL DR, MURPHY, TX 75094-4168
(972) 533-7770
(972) 881-9728
Mailing address
1218 TERRACE MILL DR, MURPHY, TX 75094-4168
(972) 533-7770
(972) 881-9728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S39975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046LJ
BLUECROSS BLUESHIELD
TX
01
—
058543
VALUEOPTIONS
—
01
—
1175126
CIGNA BEHAVIORAL HEALTH
—
01
—
254584000
MAGELLAN HEALTH SERVICES
—
01
—
274383
MHN
—
01
—
4411595
AETNA
—
Enumeration date
06/13/2006
Last updated
11/01/2010
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