Sam David Bernard, MA, PHD is a
Psychologist - Clinical based in Chattanooga, Tennessee. Sam David Bernard is licensed to practice in Tennessee (license number PE1378) and his current practice location is
6148 Lee Hwy, Suite 208, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 322-3297.
NPI number for Sam David Bernard is 1689737181 and his current mailing address is 212 Brently Woods Dr, Chattanooga, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689737181.
Healthcare Provider's Profile
| Full Name | Sam David Bernard |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 6148 Lee Hwy, Chattanooga, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689737181
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 12/30/2014
Medical Identifiers
Medical identifiers for Sam David Bernard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689737181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 27004 NBCC (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PE1378 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sam David Bernard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sam David Bernard, MA, PHD
212 Brently Woods Dr,
Chattanooga, TN 37421-4454
Ph: (423) 322-3297 | Sam David Bernard, MA, PHD
6148 Lee Hwy, Suite 208,
Chattanooga, TN 37421-2994
Ph: (423) 322-3297 |
Reviews and Comments