Provider Demographics
NPI:1992522197
Name:BERNIER, AARON (PSYD, NCSP)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BERNIER
Suffix:
Gender:M
Credentials:PSYD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 N 50 W
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IN
Mailing Address - Zip Code:46701-9584
Mailing Address - Country:US
Mailing Address - Phone:623-670-6048
Mailing Address - Fax:
Practice Address - Street 1:312 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:OSSIAN
Practice Address - State:IN
Practice Address - Zip Code:46777-9704
Practice Address - Country:US
Practice Address - Phone:260-622-4125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN000003399103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool