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:

Map and Directions

Health care specialties

Specialty	Code	License #	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

State	Type	Number	Issuer
All States	NPI	1093864159	NPPES
New Mexico	MEDICAID	Z7066

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