Berney, Kent M
Berney, Kent M is an individual health care provider with primary practice located at 1300 South Drive , Winnebago WI 54985-0009. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berney, Kent M can be contacted via phone (920) 235-4910.Contact Information
Primary practice address
1300 South Drive
Winnebago WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 236-2931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1266-057 | Wisconsin |
Profile Details
| NPI number | 1962626317 |
|---|---|
| LBN Legal business name | Berney, Kent M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Feb 16th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962626317 | NPPES |
| Wisconsin | Other | 1266-057 | LICENSE |
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