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NPI Code Detail

MEDICARE: MYRIAM LILIANA BERMUDEZ LPC

MEDICARE:   MYRIAM LILIANA BERMUDEZ  LPC
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
1101YP2500XProfessional Counselor88163TX

General Provider Information

NPI Number : 1952044612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRIAM LILIANA BERMUDEZ LPC
Provider Business Mailing Address
First Line : 16914 SILVERWOOD DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-2321
Country : US
Telephone Number : 250-826-9323
Fax Number :
Provider Business Practice Location Address
First Line : 16914 SILVERWOOD DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-2321
Country : US
Telephone Number : 210-793-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 10/14/2023

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Directions to “ MYRIAM LILIANA BERMUDEZ LPC” Practice Location

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