Individual
MICHELL BERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5706 BOULDER CRK, AUSTIN, TX 78724-3402
(512) 803-0336
Mailing address
5706 BOULDER CRK, AUSTIN, TX 78724-3402
(512) 803-0336
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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