| Sandy Bernstein, Ph.d., P.a. | |
|
6499 Powerline Rd Suite 209 Ft Lauderdale FL 33309-2069 | |
| (954) 772-6677 | |
| (954) 772-6711 |
| Full Name | Sandy Bernstein, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 6499 Powerline Rd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Sandy Bernstein (OWNER) |
| Authorized Official Contact | 9547726677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Bernstein, Ph.d., P.a. 6499 Powerline Rd Suite 209 Ft Lauderdale FL 33309-2069 Ph: (954) 772-6677 | Sandy Bernstein, Ph.d., P.a. 6499 Powerline Rd Suite 209 Ft Lauderdale FL 33309-2069 Ph: (954) 772-6677 |
| NPI Number | 1083980833 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 06/13/2012 |
| Medicare PECOS PAC ID | 3476709379 |
|---|---|
| Medicare Enrollment ID | O20120808000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083980833 | NPI | - | NPPES |
| 59434 | Other | FL | MEDICARE ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 4910 (Florida) | Primary |
| Provider Name | Sandy Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003988072 PECOS PAC ID: 4183870082 Enrollment ID: I20120820000882 |
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