Doctor Name: | MELDRINA A. BERNARD |
NPI Number: | 1619054632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C005486 |
Business Practice Address: | 1556 Highway 56 Creedmoor, NC - 27522 |
Business Phone Number: | 9196935943 |
Business Fax Number: | 9195291839 |
Mailing Address: | Po Box 530, CREEDMOOR |
State: | NC |
Postal Code: | 275220530 |
Phone Number: | 9196912914 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |