Debernardi, Michael

Debernardi, Michael is an individual health care provider with primary practice located at 2325 Cerrillos Rd , Santa Fe NM 87505-3373. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Debernardi, Michael can be contacted via phone (505) 438-0010.

Contact Information

Primary practice address
2325 Cerrillos Rd Santa Fe NM 87505-3373
Phone: (505) 438-0010
Fax: (505) 438-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 742 New Mexico

Profile Details

NPI number 1093864159
LBN Legal business name Debernardi, Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
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 1093864159 NPPES
New Mexico MEDICAID Z7066

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