1245115336 NPI number — LINDA PETRICIA CYRIL BERNARD MSW

Table of content: LINDA PETRICIA CYRIL BERNARD MSW (NPI 1245115336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245115336 NPI number — LINDA PETRICIA CYRIL BERNARD MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CYRIL BERNARD
Provider First Name:
LINDA PETRICIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245115336
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14-20 MACDADE BLVD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
COLLINGDALE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-522-4506
Provider Business Mailing Address Fax Number:
610-522-4508

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14-20 MACDADE BLVD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
COLLINGDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-522-4508
Provider Business Practice Location Address Fax Number:
610-522-4508
Provider Enumeration Date:
08/07/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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