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Individual

DR. MARIA TOLBERT BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR, SUITE 310, COLUMBIA, SC 29203-6877
(803) 434-2300
(803) 434-8600
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1146
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0479
SC
Enumeration date
06/29/2010
Last updated
03/27/2018
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