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Individual

MR. KEVIN MICHAEL BERNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP, LICSW

Contact information

Practice address
152 DEAN ST STE 13, TAUNTON, MA 02780-2766
(508) 824-2273
Mailing address
912 PARK PL, RAYNHAM, MA 02767-8069
(774) 319-1363

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118997
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2348275
MA

Other

Enumeration date
08/15/2012
Last updated
03/30/2023
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