Individual
DR. KELLY HUGHES BERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
70 SW CENTURY DR STE 100-1056, BEND, OR 97702-3557
(206) 419-2311
Mailing address
70 SW CENTURY DR STE 100-1056, BEND, OR 97702-3557
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21984
CA
103TC0700X
Clinical Psychologist
PY60272993
WA
103TC1900X
Counseling Psychologist
4010
OR
Other
Enumeration date
06/16/2008
Last updated
01/30/2026
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