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Individual

MS. KATHLEEN S. BERKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., M.S.

Contact information

Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3757
(814) 333-5060
(814) 333-5057
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5060
(814) 333-5067

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC001895
PA
103TC0700X
Clinical Psychologist
Primary
PS016996
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022563030003
PA
Enumeration date
01/25/2006
Last updated
01/07/2015
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