Provider Demographics
NPI:1982761508
Name:BERNSTEIN, STEVEN T (LMHC LADC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:T
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:LMHC LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 4 OAK RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:MA
Mailing Address - Zip Code:01754
Mailing Address - Country:US
Mailing Address - Phone:978-823-0817
Mailing Address - Fax:978-823-0307
Practice Address - Street 1:319 LITTLETON RD
Practice Address - Street 2:#108
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-823-0817
Practice Address - Fax:978-635-0386
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health