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DR. SUSAN TRESE BERNADETT PH.D.
Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1134230303
Individual Registrant:DR. SUSAN TRESE BERNADETT PH.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4546 EL CAMINO REAL STE 242 LOS ALTOS, CA 94022-1069 US
Tel: 650-948-7292 Fax: 650-948-1464
Tel: 650-948-7292 Fax: 650-948-1464
Contact information for business:
385 VERANO DR LOS ALTOS, CA 94022-2345 US
Tel: 650-948-7292 Fax: 650-948-1464
Tel: 650-948-7292 Fax: 650-948-1464
Registration Information:
NPI: 1134230303
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 103TC2200X | Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent | CA | PSY15196 |
| X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | CA | PSY15196 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
