Provider Demographics
NPI:1538272018
Name:BERNSTEIN, DANA RAY (MS)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:RAY
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2577 N DOWNER AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4253
Mailing Address - Country:US
Mailing Address - Phone:414-964-9200
Mailing Address - Fax:
Practice Address - Street 1:2577 N DOWNER AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4253
Practice Address - Country:US
Practice Address - Phone:414-964-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker