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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS RUBEN DEBERNARDI, PH. D.

Active Sole Proprietor

DR. NICHOLAS RUBEN DEBERNARDI, PH. D. is a Clinical Psychologist healthcare provider located in JENISON, Michigan. NPI 1164768065 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · JENISON, MI

Registration Details

NPI Number
1164768065
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2012 (13.46755204858 yrs)
Last Updated
Dec 20, 2012
License
6301015230 (MI)
Sole Proprietor
Yes

Practice Information

Address
1836 BALDWIN ST
JENISON, MI, 494288901
Browse MI providers · Browse ZIP 49428
Phone
6164570016
Fax
6164571950
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in JENISON, MI

Name Credential NPI
DR. MARIE ANNETTE MCKAY PSY.D. 1790736247
DR. EDWARD PHILLIP SCHMITT JR. PSY.D. 1811947385
DR. DAVID LAMAN PH.D. 1942327002
DR. TRACY LYNN KROEGER PHD 1295854263
DR. HILARY STRATTON PH.D. 1275821654
JANETTE D CURTIS LLP 1669740767
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.