Provider Demographics
NPI:1326303009
Name:BERNIER, NOEMI (MA)
Entity Type:Individual
Prefix:MRS
First Name:NOEMI
Middle Name:
Last Name:BERNIER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 CALLE CLOTO
Mailing Address - Street 2:ALTO APOLO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5042
Mailing Address - Country:US
Mailing Address - Phone:787-409-9119
Mailing Address - Fax:
Practice Address - Street 1:2071 CALLE CLOTO
Practice Address - Street 2:ALTO APOLO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5042
Practice Address - Country:US
Practice Address - Phone:787-409-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3190103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling