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DR. JOHN LESLIE BERNER PH.D

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083781041

Individual Registrant:
DR. JOHN LESLIE BERNER PH.D
Gender: M
Sole Proprietor

Location and contact information for practice:
366 MAIN STREET  MURPHYS, CA 95247 US
Tel: 209-728-8814  Fax: --

Contact information for business:
PO BOX 467  MURPHYS, CA 95247 US
Tel: 209-728-8814  Fax: --

Registration Information:
NPI: 1083781041
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY8676

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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