MEDICARE: ANDREA BERKEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1477072445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BERKEY

Provider Business Mailing Address
First Line	:	557 TYLER AVE
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94550-3401
Country	:	US
Telephone Number	:	925-960-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	557 TYLER AVE
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94550-3401
Country	:	US
Telephone Number	:	925-960-9701
Fax Number	:	925-960-9701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	09/11/2017

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Directions to “ ANDREA BERKEY ” Practice Location

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