Doctor Name: | DR. GEORGE W BERNIER |
NPI Number: | 1063519015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY12871 |
Business Practice Address: | 12881 166th St Suite 110 Cerritos, CA - 907032149 |
Business Phone Number: | 5629215701 |
Business Fax Number: | 5629215703 |
Mailing Address: | 12881 166th St, Suite 110 CERRITOS |
State: | CA |
Postal Code: | 907032149 |
Phone Number: | 5629215701 |
Fax Number: | 5629215703 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY12871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |