Bernard, Jennifer Fawn
Bernard, Jennifer Fawn is an sole proprietor health care provider with primary practice located at 1325 Wyoming Blvd Ne Pmg Kaseman Behavioral Medicine, Albuquerque NM 87112-5046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bernard, Jennifer Fawn can be contacted via phone (505) 291-5300.Contact Information
Primary practice address
1325 Wyoming Blvd Ne Pmg Kaseman Behavioral Medicine
Albuquerque NM 87112-5046
Phone: (505) 291-5300
Fax: (505) 291-2956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1380 | New Mexico |
Profile Details
| NPI number | 1205219623 |
|---|---|
| LBN Legal business name | Bernard, Jennifer Fawn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2015 |
| Last updated | Sep 28th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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