BERYL D SOUTHALL (NPI# 1629695291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629695291 |
| Entity Type | Individual |
| Full Name | BERYL D SOUTHALL |
| Credential | LPC |
| Practice Address |
3986 County Road 454 El Campo TX 77437-6640 |
| Practice Telephone | 9799970527 |
| Mailing Telephone | 9799970527 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
77657 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3986 COUNTY ROAD 454 |
| City | EL CAMPO |
| State | TX |
| Zip Code | 77437-6640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407671 | Chau Dinh | Pharmacist | 203 North Mechanic St, El Campo, TX 77437 | 2020-08-13 |
| 1043454697 | Lifechek Rosenberg LLC | Pharmacy | 3735 Fm 2765 Space M, El Campo, TX 77437 | 2009-04-27 |
| 1477769305 | Fort Bend Family Health Center, Inc. | Clinic/Center | 505 Forester, El Campo, TX 77437 | 2007-05-15 |
| 1689723983 | John L Richards | Dentist | 105 N Washington, El Campo, TX 77437 | 2007-01-09 |
| 1194889931 | Brian M Swenson | Dentist | 105 N Washington St, El Campo, TX 77437 | 2006-12-19 |
| 1790860930 | Ross Wyatt Anderson | Dentist | 1106 North Mechanic Street, El Campo, TX 77437 | 2006-10-26 |
| 1144339565 | H-e-b, Lp | Clinical Medical Laboratory | 306 N Mechanic St, El Campo, TX 77437 | 2006-08-30 |
| 1376565200 | El Campo Professional Pharmacy | Pharmacy | 1264 N. Mechanic St., El Campo, TX 77437 | 2006-07-23 |
| 1407899875 | Ronald Jay Cochran | Dermatology | 1918 West Loop, El Campo, TX 77437 | 2006-06-14 |
| 1194768408 | Scott Lewis Stephenson | Chiropractor | 1406 North Mechanic St, El Campo, TX 77437 | 2006-06-14 |
| Find all providers in zip 77437 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800537 | Paige Freeman | Psychologist | 22 E Shady Ln # E, Houston, TX 77063-1302 | 2020-11-01 |
| 1316544471 | Jermaine Berry | Psychologist | 2314 Kenworthy Dr, Missouri City, TX 77459-2104 | 2020-10-01 |
| 1437762762 | Soul's Retreat, Pllc | Psychologist | 232 Phelps Ave, Littlefield, TX 79339-3428 | 2020-08-26 |
| 1467064741 | Samantha Morel | Psychologist | 26310 Oak Ridge Dr Ste 37, Spring, TX 77380-3777 | 2020-08-19 |
| 1750992400 | Laura Portner | Psychologist | 1106 Clayton Ln Ste 522w, Austin, TX 78723-2489 | 2020-08-14 |
| 1841817939 | Meghan Roche | Psychologist | 5880 Inwood Dr Apt 1034, Houston, TX 77057-3207 | 2020-07-06 |
| 1215554654 | Nathan Andrew Miller | Psychologist | 11207 Dublin Ldg, San Antonio, TX 78254-5468 | 2020-07-01 |
| 1881211860 | Justin Litvin | Psychologist | 5569 Annie Creek Rd, Fort Worth, TX 76126-9536 | 2020-06-25 |
| 1104441609 | Claudia Patricia De La Torre | Psychologist | 4509 Vermont Ave, Mcallen, TX 78503-7319 | 2020-06-10 |
| 1427672039 | Alanna Carrasco Drummond | Psychologist | 2025 Guadalupe St Ste 260, Austin, TX 78705-5642 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.