| Bernell Therapy, Llc | |
|
22 Mill St Suite 405 Arlington MA 02476-4744 | |
| (781) 523-5636 | |
| (781) 532-4220 |
| Full Name | Bernell Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 22 Mill St, Arlington, Massachusetts |
| Authorized Official Name and Position | Monica Doris Bernell (OWNER/PROPRIETOR BERNAL THERAPY, LL) |
| Authorized Official Contact | 7815235636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernell Therapy, Llc 22 Mill St Suite 405 Arlington MA 02476-4744 Ph: (781) 523-5636 | Bernell Therapy, Llc 22 Mill St Suite 405 Arlington MA 02476-4744 Ph: (781) 523-5636 |
| NPI Number | 1720657562 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 9739584350 |
|---|---|
| Medicare Enrollment ID | O20210819003492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720657562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Monica D Bernell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528029931 PECOS PAC ID: 7719024223 Enrollment ID: I20091102000077 |
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