Provider Demographics
NPI:1952524993
Name:BERNSTEIN, ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WASHINGTON LN
Mailing Address - Street 2:6A-2
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1403
Mailing Address - Country:US
Mailing Address - Phone:215-884-7722
Mailing Address - Fax:
Practice Address - Street 1:25 WASHINGTON LN
Practice Address - Street 2:6A-2
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1403
Practice Address - Country:US
Practice Address - Phone:215-884-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS05743-L103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA676049Medicare ID - Type UnspecifiedPROVIDER ID