Provider Demographics
NPI:1346253838
Name:BERNAL-WARD, ISABEL (PHD)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:BERNAL-WARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:
Other - Last Name:BERNAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1825 N OXNARD BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3503
Mailing Address - Country:US
Mailing Address - Phone:805-983-6787
Mailing Address - Fax:805-983-6787
Practice Address - Street 1:1825 N OXNARD BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3503
Practice Address - Country:US
Practice Address - Phone:805-983-6787
Practice Address - Fax:805-983-6787
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 13406103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical