Individual
DR. KEVIN BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
10824 OLD MILL RD STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Mailing address
10824 OLD MILL RD STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1068
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20025660400
—
NE
05
—
47037660626
—
NE
05
—
47037660631
—
NE
Enumeration date
02/21/2007
Last updated
09/23/2024
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