Provider Demographics
NPI:1871611004
Name:BERNSTEIN, SANDRA A (RN, MSN, CS, LMFT)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:A
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:RN, MSN, CS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1782 CINDY LN
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3217
Mailing Address - Country:US
Mailing Address - Phone:215-362-2663
Mailing Address - Fax:
Practice Address - Street 1:593 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 4B
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9709
Practice Address - Country:US
Practice Address - Phone:215-822-2224
Practice Address - Fax:215-822-6999
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000191106H00000X
PARN164065L163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABE071427OtherPA BLUE SHIELD
PABE071427OtherPA BLUE SHIELD