Provider Demographics
NPI:1699832832
Name:NEWMAN BERNSTEIN PHD PA, SARI (PHD PA)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:
Last Name:NEWMAN BERNSTEIN PHD PA
Suffix:
Gender:F
Credentials:PHD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 SOUTHPOINT BLVD
Mailing Address - Street 2:SUITE 238
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-0947
Mailing Address - Country:US
Mailing Address - Phone:904-332-2525
Mailing Address - Fax:612-435-2390
Practice Address - Street 1:4110 SOUTHPOINT BLVD
Practice Address - Street 2:SUITE 238
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-0928
Practice Address - Country:US
Practice Address - Phone:904-332-2525
Practice Address - Fax:612-435-2390
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6209103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist