institution
Anthony L Berardi, Phd Pc
Mental Health Clinic/Center (Including Community Mental Health Center) in South Bend, Indiana
NPI 1437421435

Anthony L Berardi, Phd Pc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in South Bend, IN and is specialized in Mental Health (Including Community Mental Health Center). Anthony L Berardi, Phd Pc practices in South Bend, IN. The NPI Number for Anthony L Berardi, Phd Pc is 1437421435 and holds a License No. 20010290A (Indiana).

The current practice location address for Anthony L Berardi, Phd Pc is 300 S Saint Louis Blvd, South Bend, IN and can be reached out via phone at 574-232-1405 and via fax at 574-232-0124.

Location: 300 S Saint Louis Blvd, South Bend, IN, 46617-3043
institution
Provider Profile Details
NPI Number
1437421435
Provider Name
Anthony L Berardi, Phd Pc
Credential
Provider Entity Type
Organization
Address
300 S Saint Louis Blvd, South Bend, IN, 46617-3043
Phone Number
574-232-1405
Fax Number
574-232-0124
Provider Enumeration Date
02/07/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M100064411 01 IN MEDICARE PTAN
201052000 A 05 IN
institution
Provider Business Practice Location Address Details
Address
300 S Saint Louis Blvd
City
State
Zip
46617-3043
Phone Number
574-232-1405
Fax Number
574-232-0124
person
Provider Business Mailing Address Details
Address
300 S Saint Louis Blvd
City
State
Zip
46617-3043
Phone Number
574-232-1405
Fax Number
574-232-0124
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
20010290A (Indiana)
Definition
Definition to come...
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