Provider Demographics
NPI:1205899200
Name:SEIF, BERNARD (EDD, DNM)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:SEIF
Suffix:
Gender:M
Credentials:EDD, DNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 FRANTZ RD
Mailing Address - Street 2:SALESIAN MONASTERY
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-7722
Mailing Address - Country:US
Mailing Address - Phone:570-992-3448
Mailing Address - Fax:570-992-3448
Practice Address - Street 1:420 FRANTZ RD
Practice Address - Street 2:SALESIAN MONASTERY
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322-7722
Practice Address - Country:US
Practice Address - Phone:570-992-3448
Practice Address - Fax:570-992-3448
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005430L103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA411184270Medicaid
PAR06206Medicare UPIN