| Lynn R Bernstein & Associates Pa | |
|
1861 Placida Rd Ste 101 Englewood FL 34223-4900 | |
| (941) 474-7170 | |
| (941) 475-2955 |
| Full Name | Lynn R Bernstein & Associates Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1861 Placida Rd Ste 101, Englewood, Florida |
| Authorized Official Name and Position | Merri I Douthwright (ADMIN ASSISTANT) |
| Authorized Official Contact | 9414747170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn R Bernstein & Associates Pa 1861 Placida Rd Ste 101 Englewood FL 34223-4900 Ph: (941) 474-7170 | Lynn R Bernstein & Associates Pa 1861 Placida Rd Ste 101 Englewood FL 34223-4900 Ph: (941) 474-7170 |
| NPI Number | 1780742676 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 0143355487 |
|---|---|
| Medicare Enrollment ID | O20100311001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780742676 | NPI | - | NPPES |
| 033111200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY 3297 (Florida) | Primary |
| Provider Name | Lynn R Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730357534 PECOS PAC ID: 5698800936 Enrollment ID: I20100311001061 |
| Provider Name | Miriam E Bjurman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538612999 PECOS PAC ID: 7113207572 Enrollment ID: I20161201001294 |
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