| Kevin Berryman, Llc | |
|
11905 Arbor St Omaha NE 68144-2970 | |
| (402) 330-8850 | |
| Not Available |
| Full Name | Kevin Berryman, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11905 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Kevin Benton Berryman (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4025152266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Berryman, Llc 5821 Charles St Omaha NE 68132-1320 Ph: (402) 515-2266 | Kevin Berryman, Llc 11905 Arbor St Omaha NE 68144-2970 Ph: (402) 330-8850 |
| NPI Number | 1114732971 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114732971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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