William Edson Berryman in Champaign - Mental Health
William Edson Berryman - NPI 1407910144
William Edson Berryman is a Mental Health in Champaign, Illinois. William Edson Berryman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for William Edson Berryman is 1407910144. The last update date is 2007-07-08.
William Edson Berryman's current location address is 202 W. Park, Champaign, Illinois. You can contact this provider via phone number 2173732430 and fax number 2173732444. The mailing address for William Edson Berryman is 202 W. Park, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Edson Berryman |
|---|---|
| Address | 202 W. Park, Champaign, Illinois |
| Phone Number | 2173732430 |
| Fax Number | 2173732444 |
| Sole Proprietor | Y |
| Credentials | M.S.ED. |
NPI Number Detail
| NPI Number | 1407910144 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 202 W. Park |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203928 |
| Phone Number | 2173732430 |
| Fax Number | 2173732444 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 101YM0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to William Edson Berryman by the Centers for Medicare & Medicaid Services (CMS)?
The William Edson Berryman has been assigned the NPI (National Provider Identifier) 1407910144. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the William Edson Berryman located?
The William Edson Berryman is located at 202 W. Park, Champaign, IL 618203928.
What is the William Edson Berryman's specialty and taxonomy code?
The William Edson Berryman's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the William Edson Berryman receive the assignment of its 1407910144 from the Centers for Medicare & Medicaid Services?
The William Edson Berryman was issued its 1407910144 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information related to William Edson Berryman most recently updated or refreshed?
The details pertaining to the William Edson Berryman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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