Individual
DR. KYLE BERSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 563-1466
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 563-1466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009860
IL
103T00000X
Psychologist
2017002001
MO
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/19/2016
Last updated
12/07/2022
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