Individual
DR. JAMES C BERKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 949-9555
Mailing address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 949-9555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099314901
—
TX
01
—
81666S
BLUE CROSS
TX
Enumeration date
03/27/2006
Last updated
12/05/2018
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