Berryman, William Edson

Berryman, William Edson is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Berryman, William Edson can be contacted via phone (217) 373-2430.

Contact Information

Primary practice address
202 W Park Ave Champaign IL 61820-3929
Phone: (217) 373-2430
Fax: (217) 373-2444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 101YM0800X Illinois

Profile Details

NPI number 1407910144
LBN Legal business name Berryman, William Edson
Credentials M.S.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers