Provider Demographics
NPI:1790237246
Name:BERNHARD, AMANDA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:BERNHARD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 KNOLLWOOD ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2907
Mailing Address - Country:US
Mailing Address - Phone:914-275-7130
Mailing Address - Fax:
Practice Address - Street 1:319 KNOLLWOOD ROAD EXT
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-2907
Practice Address - Country:US
Practice Address - Phone:914-275-7130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097821174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist