Provider Demographics
NPI:1922027036
Name:BERNARDY, NANCY C (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:C
Last Name:BERNARDY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VA MEDICAL CENTER 116D
Mailing Address - Street 2:NATIONAL CENTER FOR PTSD
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05009-0001
Mailing Address - Country:US
Mailing Address - Phone:802-296-5132
Mailing Address - Fax:802-296-5135
Practice Address - Street 1:VA MEDICAL CENTER 116D
Practice Address - Street 2:NATIONAL CENTER FOR PTSD
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-296-5132
Practice Address - Fax:802-296-5135
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048-0000758101YA0400X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT048-0000758OtherPSYCHOLOGIST-DOCTORATE