Linda J Bernardin, PHD
Clinical Neuropsychologist in Fond Du Lac, WI. Individual provider (NPI-1).
NPI number1790795128
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1790795128
- Entity type
- Individual (NPI-1)
- Name
- Linda J Bernardin
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2061 | WI | Yes |
| 103T00000X | Psychologist | 2061 | WI |
Practice location
430 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-4200 · Fax 920-926-8885
Mailing address
430 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-4200 · Fax 920-926-8885
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