Provider Demographics
NPI:1447385984
Name:WATSON-BERNARD, JANICE (JANICE BERNARD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:WATSON-BERNARD
Suffix:
Gender:F
Credentials:JANICE BERNARD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 REVOLUTIONARY RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2015
Mailing Address - Country:US
Mailing Address - Phone:914-923-4082
Mailing Address - Fax:
Practice Address - Street 1:151 E POST RD
Practice Address - Street 2:SUITE 121
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5207
Practice Address - Country:US
Practice Address - Phone:914-923-4082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist