Individual provider · Type 1 NPI

Nicholas Ruben Debernardi, PH. D.

Clinical Psychologist · Jenison, MI

NPI number 1164768065 Active

Practice location

1836 Baldwin St
Jenison, MI 49428-8901

Call (616) 457-0016 Map

Fax (616) 457-1950

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301015230 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1164768065

Nicholas Ruben Debernardi, PH. D.'s National Provider Identifier is 1164768065, issued on Dec 20, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jenison, MI. The record was last updated on Dec 20, 2012.