Bersted, Kyle
Bersted, Kyle is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bersted, Kyle can be contacted via phone (312) 563-1466.Contact Information
Primary practice address
1653 W Congress Pkwy
Chicago IL 60612-3833
Phone: (312) 563-1466
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2017002001 | Missouri |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071009860 | Illinois |
Profile Details
NPI number | 1376996991 |
---|---|
LBN Legal business name | Bersted, Kyle |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2016 |
Last updated | Dec 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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