Individual
DR. JOHN HUDSON BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
129 E GERMAN STREET, SHEPHERDSTOWN, WV 25443
(304) 876-1765
(304) 876-1766
Mailing address
564 STEAMBOAT RUN RD, SHEPHERDSTOWN, WV 25443
(304) 876-1765
(304) 876-1766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
03431
MD
103T00000X
Psychologist
Primary
728
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269798
MAMSI
MD
Enumeration date
04/11/2007
Last updated
07/08/2007
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