Individual
DONNA BARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-5603
(812) 353-3451
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-5603
(812) 353-3451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
99019614A
IN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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