Bernard, Sam David
Bernard, Sam David is an sole proprietor health care provider with primary practice located at 6148 Lee Hwy Suite 208, Chattanooga TN 37421-2994. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bernard, Sam David can be contacted via phone (423) 322-3297.Contact Information
Primary practice address
6148 Lee Hwy Suite 208
Chattanooga TN 37421-2994
Phone: (423) 322-3297
Fax: (423) 370-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 27004 NBCC | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PE1378 | Tennessee |
Profile Details
| NPI number | 1689737181 |
|---|---|
| LBN Legal business name | Bernard, Sam David |
| Credentials | M.A., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Dec 30th, 2014 - about 12 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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