Organization
KERBER PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BERNARD KERBER PSY.D., L.P. (CLINICAL PSYCHOLOGIST)
(952) 457-0572
Entity
Organization
Contact information
Practice address
562 BAVARIA LANE, CHASKA, MN 55386
(952) 457-0572
(714) 274-7197
Mailing address
562 BAVARIA LANE, CHASKA, MN 55386
(952) 457-0572
(714) 274-7197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP4084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034N2KE
BLUE CROSS
MN
01
—
6173120
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
06/12/2007
Last updated
08/01/2007
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