Berryman, Kevin

Berryman, Kevin is an individual health care provider with primary practice located at 1941 S 42Nd St Ste 328 , Omaha NE 68105-2943. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Berryman, Kevin can be contacted via phone (402) 614-8444.

Contact Information

Primary practice address
1941 S 42Nd St Ste 328 Omaha NE 68105-2943
Phone: (402) 614-8444
Fax: (402) 614-8443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3306 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1068 Nebraska

Profile Details

NPI number 1194860593
LBN Legal business name Berryman, Kevin
Credentials LMHP AND PA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 7th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194860593 NPPES
Nebraska MEDICAID 20025660400
Nebraska MEDICAID 47037660626
Nebraska MEDICAID 47037660631

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