Provider Demographics
NPI:1194738435
Name:CACHARA, BERNADETTE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BERNADETTE
Middle Name:
Last Name:CACHARA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-0464
Mailing Address - Country:US
Mailing Address - Phone:717-448-4135
Mailing Address - Fax:717-218-9897
Practice Address - Street 1:401 E LOUTHER ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-0464
Practice Address - Country:US
Practice Address - Phone:717-448-4135
Practice Address - Fax:717-218-9897
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100775002Medicaid