Provider Demographics
NPI:1396892923
Name:KARMATZ, BERNARD (MS)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:
Last Name:KARMATZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:BERNARD
Other - Middle Name:
Other - Last Name:KARMATZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:250 W 1ST ST STE 240
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4745
Mailing Address - Country:US
Mailing Address - Phone:909-625-8500
Mailing Address - Fax:909-422-2211
Practice Address - Street 1:250 W 1ST ST STE 242
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4742
Practice Address - Country:US
Practice Address - Phone:909-625-8500
Practice Address - Fax:909-422-2211
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 17394101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional