Provider Demographics
NPI:1174689046
Name:BERNIER, JOSEPH ERNEST JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ERNEST
Last Name:BERNIER
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WALDEN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-9734
Mailing Address - Country:US
Mailing Address - Phone:518-452-4232
Mailing Address - Fax:
Practice Address - Street 1:5PINE WEST PLAZA, WASHINGTON AVE. EXTENSION
Practice Address - Street 2:SUITE 508
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-452-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005849-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical