Provider Demographics
NPI:1174551444
Name:BERNIER, JULIE N (EDD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:N
Last Name:BERNIER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 WASHBURN RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:NH
Mailing Address - Zip Code:03222-6541
Mailing Address - Country:US
Mailing Address - Phone:603-744-5714
Mailing Address - Fax:
Practice Address - Street 1:MSC 22 PLYMOUTH STATE UNIVERSITY
Practice Address - Street 2:17 HIGH ST
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264
Practice Address - Country:US
Practice Address - Phone:603-535-3028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer