Beryl D Southall, LPC is a
Psychologist - Counseling based in El Campo, Texas. Beryl D Southall is licensed to practice in Texas (license number 77657) and her current practice location is
3986 County Road 454, El Campo, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 997-0527.
NPI number for Beryl D Southall is 1629695291 and her current mailing address is 3986 County Road 454, El Campo, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629695291.
Healthcare Provider's Profile
Full Name | Beryl D Southall |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 3986 County Road 454, El Campo, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629695291
- Provider Enumeration Date: 06/30/2020
- Last Update Date: 06/30/2020
Medical Identifiers
Medical identifiers for Beryl D Southall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629695291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 77657 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beryl D Southall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Beryl D Southall, LPC 3986 County Road 454, El Campo, TX 77437-6640 Ph: (979) 997-0527 | Beryl D Southall, LPC 3986 County Road 454, El Campo, TX 77437-6640 Ph: (979) 997-0527 |
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