Anthony Louis Berardi in South Bend - Clinical
Anthony Louis Berardi - NPI 1316995095
Anthony Louis Berardi is a Clinical in South Bend, Indiana. Anthony Louis Berardi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anthony Louis Berardi is 1316995095. The last update date is 2016-06-24.
Anthony Louis Berardi's current location address is 300 S Saint Louis Blvd, South Bend, Indiana. You can contact this provider via phone number 5742321405 and fax number 5742320124. The mailing address for Anthony Louis Berardi is 300 S Saint Louis Blvd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Anthony Louis Berardi |
---|---|
Address | 300 S Saint Louis Blvd, South Bend, Indiana |
Phone Number | 5742321405 |
Fax Number | 5742320124 |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1316995095 |
---|---|
Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2016-06-24 |
Provider Mailing Address Detail
Address | 300 S Saint Louis Blvd |
---|---|
City | South Bend |
State | Indiana (IN) |
Post Code | 466173043 |
Phone Number | 5742321405 |
Fax Number | 5742320124 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 103Tc0700X |
Licence No | 20010290A |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100095590 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Anthony Louis Berardi by the Centers for Medicare & Medicaid Services?
The Anthony Louis Berardi has been assigned the NPI (National Provider Identifier) 1316995095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Anthony Louis Berardi located?
The Anthony Louis Berardi is located at 300 S Saint Louis Blvd, South Bend, IN 466173043.
What is Anthony Louis Berardi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anthony Louis Berardi is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316995095 to Anthony Louis Berardi?
The Centers for Medicare & Medicaid Services assigned the 1316995095 to Anthony Louis Berardi on 2006-05-04.
When was the information regarding Anthony Louis Berardi, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Anthony Louis Berardi, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-06-24.