Bernon, Douglas B.

Bernon, Douglas B. is an sole proprietor health care provider with primary practice located at 13 Baker Rd , Portsmouth RI 02871-1708. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bernon, Douglas B. can be contacted via phone (401) 293-0343.

Contact Information

Primary practice address
13 Baker Rd Portsmouth RI 02871-1708
Phone: (401) 293-0343
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 425 Rhode Island
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 425 Rhode Island

Profile Details

NPI number 1578709176
LBN Legal business name Bernon, Douglas B.
Credentials PH.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2009
Last updated Mar 2nd, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578709176 NPPES
Other 42653 COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY
Other LICENSE 425 COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY
Other 3609-8192 COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY

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