Provider Demographics
NPI:1972626794
Name:BERNSTEIN, ERIC J (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W STATION SQUARE DR
Mailing Address - Street 2:STE 617
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1175
Mailing Address - Country:US
Mailing Address - Phone:412-338-1808
Mailing Address - Fax:412-338-1809
Practice Address - Street 1:100 W STATION SQUARE DR
Practice Address - Street 2:STE 617
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1175
Practice Address - Country:US
Practice Address - Phone:412-338-1808
Practice Address - Fax:412-338-1809
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015432103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical