Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bernaqdine Ann Petzold

Individual provider Psychologist · NPI 1699072793

Dr. Bernaqdine Ann Petzold is a Psychologist in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

524 E 4th St
Royal Oak, MI 48067-2847
Phone: (800) 963-9163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6401005086 (MI)

Record details

NPI number1699072793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2011
Last updated in NPPESFebruary 25, 2011

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