| Martin E Bernstein Pc | |
|
777 S Wadsworth Blvd Bldg 2 102 Lakewood CO 80226-4300 | |
| (303) 989-1520 | |
| (303) 989-1520 |
| Full Name | Martin E Bernstein Pc |
|---|---|
| Speciality | Psychologist |
| Location | 777 S Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Martin Bernstein (PRESIDENT) |
| Authorized Official Contact | 3039891520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin E Bernstein Pc 777 S Wadsworth Blvd Bldg 2 102 Lakewood CO 80226-4300 Ph: (303) 989-1520 | Martin E Bernstein Pc 777 S Wadsworth Blvd Bldg 2 102 Lakewood CO 80226-4300 Ph: (303) 989-1520 |
| NPI Number | 1790844025 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 09/07/2007 |
| Medicare PECOS PAC ID | 1557442043 |
|---|---|
| Medicare Enrollment ID | O20080123000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790844025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 456 (Colorado) | Primary |
| Provider Name | Martin E Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275710121 PECOS PAC ID: 3476446345 Enrollment ID: I20040204000814 |
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