DR. Nicholas Ruben Debernardi, PH. D.

NPI #1164768065 in Jenison, Michigan

Provider Information

NPI Number: 1164768065
Entity Type: Individual
Name: DR. Nicholas Ruben Debernardi, PH. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH. D.
Enumeration Date: Dec 20, 2012
Last Updated: Dec 20, 2012

Practice Location

Address: 1836 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-8901
Phone: (616) 457-0016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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