Doctor Name: | MS. KATHLEEN S. BERKEY |
NPI Number: | 1003886656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., M.S. |
License Number: | PC001895 |
Business Practice Address: | 18201 Conneaut Lake Rd Meadville, PA - 163353757 |
Business Phone Number: | 8143335060 |
Business Fax Number: | 8143335057 |
Mailing Address: | 1034 Grove St, MEADVILLE |
State: | PA |
Postal Code: | 163352945 |
Phone Number: | 8143335060 |
Fax Number: | 8143335067 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001895 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |