Provider Demographics
NPI:1982179016
Name:FIGUEROA BERNIER, VIVIANA J (PSYD)
Entity Type:Individual
Prefix:
First Name:VIVIANA
Middle Name:J
Last Name:FIGUEROA BERNIER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29605 US HIGHWAY 19 N STE 310
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1540
Mailing Address - Country:US
Mailing Address - Phone:727-332-9535
Mailing Address - Fax:727-785-6985
Practice Address - Street 1:29605 US HIGHWAY 19 N STE 310
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1540
Practice Address - Country:US
Practice Address - Phone:727-332-9535
Practice Address - Fax:727-785-6985
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10181103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101347800Medicaid