Bernardin, Linda J

Bernardin, Linda J is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bernardin, Linda J can be contacted via phone (920) 926-4200.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Fax: (920) 926-8885
Website:

Health care specialties

Profile Details

NPI number 1790795128
LBN Legal business name Bernardin, Linda J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790795128 NPPES
Wisconsin MEDICAID 39132000

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