| Jeffrey S. Berryhill, Ph.d, Pllc | |
|
900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 | |
| (651) 482-9361 | |
| (651) 482-9888 |
| Full Name | Jeffrey S. Berryhill, Ph.d, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 900 Long Lake Rd Ste 320, New Brighton, Minnesota |
| Authorized Official Name and Position | Jeffrey S. Berryhill (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6514829361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S. Berryhill, Ph.d, Pllc 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 | Jeffrey S. Berryhill, Ph.d, Pllc 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 |
| NPI Number | 1902226350 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 6406243161 |
|---|---|
| Medicare Enrollment ID | O20220427001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902226350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP5264 (Minnesota) | Primary |
| Provider Name | Jeffrey Scott Berryhill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184706350 PECOS PAC ID: 1658640065 Enrollment ID: I20170628001150 |
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