| Doctor Name: | DR. BERNARD HARTMAN |
| NPI Number: | 1982746509 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 37PC00200100 |
| Business Practice Address: | 420 Boulevard Suite 205 Mountain Lakes, NJ - 070461742 |
| Business Phone Number: | 9732999700 |
| Business Fax Number: | 9739830425 |
| Mailing Address: | 420 Boulevard, Suite 205 MOUNTAIN LAKES |
| State: | NJ |
| Postal Code: | 070461742 |
| Phone Number: | 9732999700 |
| Fax Number: | 9739830425 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00200100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |