Individual
MS. BEVERLY BEHRMAN BERNZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
115 N DIXIE DR, #250, LAKE JACKSON, TX 77566-5906
(979) 285-3583
(979) 299-1783
Mailing address
115 N DIXIE DR, #250, LAKE JACKSON, TX 77566-5906
(979) 285-3583
(979) 299-1783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063ES
BCBS
TX
05
—
100767603
—
TX
Enumeration date
01/24/2006
Last updated
06/24/2009
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