Kevin Berryman LMHP AND PA

NPI 1194860593 - Counselor - 101Y00000X

NPI Details
NPI 1194860593
Gender Male
Enumeration Date 02/21/2007
Last Updated 03/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
13603 FLANAGAN BLVD
BOYS TOWN NE, 68010-7501, US
Phone (402) 498-3358
Fax (402) 498-3375
Business Location
13603 FLANAGAN BLVD
BOYS TOWN NE, 68010-7501, US
Phone (402) 498-3358
Fax (402) 498-3375
Toxanomy
Taxonomy Code 101Y00000X
License State Nebraska
License Number 3306
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According to our database, Mr. Kevin Berryman LMHP AND PA NPI is 1194860593, taxonomy code is 101Y00000X and license number is 3306, license state is located at Nebraska. Kevin Berryman LMHP AND PA physically located at 13603 Flanagan Blvd, Boys Town NE, 68010-7501. NPI Number Kevin Berryman LMHP AND PA has the Individual type.

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1194860593 NPI number is provided on an as is basis without warranty of any kind. 1194860593 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Berryman LMHP AND PA are for informational purposes only.