Individual
DR. ANTHONY LOUIS BERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
218 W WASHINGTON ST STE 400, SOUTH BEND, IN 46601-1829
(572) 232-1405
(574) 232-0124
Mailing address
218 W WASHINGTON ST STE 400, SOUTH BEND, IN 46601-1829
(574) 232-1405
(574) 232-0124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010290A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095590
—
IN
Enumeration date
05/04/2006
Last updated
01/17/2026
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