Male or Other

Sam D. Bernard M.A., PH.D.

Clinical Psychologist in Chattanooga, TN(View on Map)

Full Name

Sam David Bernard M.A., PH.D.

NPI Number

1689737181

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/18/2006

Specialties

(Taxonomies)

Code

103TC0700X
101YM0800X

Primary Taxonomy

Yes
No

Licenses

State

Tennessee

License Number

PE1378

Contact
Information

Purpose

Mailing
Location

Address

212 BRENTLY WOODS DR
6148 LEE HWY

City

Chattanooga
Chattanooga

State

TN
TN

Postal Code

37421-4454
37421-2994

Country

US
US

Telephone Number

(423) 322-3297
(423) 322-3297

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2014

Provider Address

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