| Doctor Name: | ELLIOT HARVEY BERN |
| NPI Number: | 1013003441 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PS2791L |
| Business Practice Address: | 1011 Pennsylvania Ave Matamoras, PA - 183361713 |
| Business Phone Number: | 5704914728 |
| Business Fax Number: | |
| Mailing Address: | 1011 Pennsylvania Ave, Po Box 188 MATAMORAS |
| State: | PA |
| Postal Code: | 183361713 |
| Phone Number: | 5704914728 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS2791L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |