Provider Demographics
NPI:1932439353
Name:CONFER, BERNADETTE MARIE
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:MARIE
Last Name:CONFER
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BERNADETTE
Other - Middle Name:MARIE
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 2028
Mailing Address - Street 2:NIAGARA UNIVERSITY COUNSELING SERVICES
Mailing Address - City:NIAGARA UNIVERSITY
Mailing Address - State:NY
Mailing Address - Zip Code:14109-2028
Mailing Address - Country:US
Mailing Address - Phone:716-286-8526
Mailing Address - Fax:716-286-8543
Practice Address - Street 1:1517 MAIN ST
Practice Address - Street 2:LIVING WELLNESS OF NIAGARA
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-2521
Practice Address - Country:US
Practice Address - Phone:716-939-0892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017967103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling