| Doctor Name: | BERNIE PUENTE |
| NPI Number: | 1164601092 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 2535 |
| Business Practice Address: | 4301 Nw Mow Way Rd Reynolds Army Community Hospital - Mmd Fort Sill, OK - 735039018 |
| Business Phone Number: | 5805582972 |
| Business Fax Number: | 5805583515 |
| Mailing Address: | 4301 Nw Mow Way Rd, Reynolds Army Community Hospital - Mmd FORT SILL |
| State: | OK |
| Postal Code: | 735039018 |
| Phone Number: | 5805582972 |
| Fax Number: | 5805583515 |
| NPI Enumeration Date: | 10/28/2007 |
| NPI Last Update Date: | 12/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |