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NPI Code Detail

MEDICARE: DR. LAVERNE A BERKEL

MEDICARE:  DR. LAVERNE A BERKEL
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
1103TC1900XCounseling Psychologist2006024162MO

General Provider Information

NPI Number : 1841476256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAVERNE A BERKEL
Provider Business Mailing Address
First Line : 222 W GREGORY BLVD
Second Line : SUITE 100
City : KANSAS CITY
State : MO
Zip : 64114-1140
Country : US
Telephone Number : 816-361-0664
Fax Number : 816-361-0677
Provider Business Practice Location Address
First Line : 222 W GREGORY BLVD
Second Line : SUITE 100
City : KANSAS CITY
State : MO
Zip : 64114-1140
Country : US
Telephone Number : 816-361-0664
Fax Number : 816-361-0677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2008
Last Update Date : 09/29/2010

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Directions to “ DR. LAVERNE A BERKEL ” Practice Location

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