Individual
GUY V BERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
825
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
11412010
BCBS OF KC
—
Enumeration date
08/31/2006
Last updated
07/23/2010
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