Provider Demographics
NPI:1134853054
Name:BERNASCONI, PATRICIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:BERNASCONI
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 1:4380 E LOS ALTOS DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-3523
Mailing Address - Country:US
Mailing Address - Phone:480-318-5797
Mailing Address - Fax:
Practice Address - Street 1:4380 E LOS ALTOS DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-3523
Practice Address - Country:US
Practice Address - Phone:480-318-5797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool