Provider Demographics
NPI:1750521522
Name:DUHL, BERNICE S (EDD)
Entity type:Individual
Prefix:DR
First Name:BERNICE
Middle Name:S
Last Name:DUHL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:BUNNY
Other - Middle Name:S
Other - Last Name:DUHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:2 BELLIS CT
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-3240
Mailing Address - Country:US
Mailing Address - Phone:617-547-6677
Mailing Address - Fax:
Practice Address - Street 1:2 BELLIS CT
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-3240
Practice Address - Country:US
Practice Address - Phone:617-547-6677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMF235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist