Provider Demographics
NPI:1285163394
Name:BECERRA BERNARD, JULIA M (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:M
Last Name:BECERRA BERNARD
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:M
Other - Last Name:BERNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 STEPPING STONE LN
Mailing Address - Street 2:
Mailing Address - City:KINGS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1309
Mailing Address - Country:US
Mailing Address - Phone:802-431-7396
Mailing Address - Fax:
Practice Address - Street 1:1 STEPPING STONE LN
Practice Address - Street 2:
Practice Address - City:KINGS POINT
Practice Address - State:NY
Practice Address - Zip Code:11024-1309
Practice Address - Country:US
Practice Address - Phone:802-431-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002503106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist