Individual provider · Type 1 NPI
Ivy Hazel Bermudez, MA, LPC
Professional Counselor · Amarillo, TX
NPI number
1013533256
Active
Practice location
1145 Shasta Dr
Amarillo, TX 79110-3526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 77006 (TX) |
Professional Counselor: Definition to come...
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About NPI 1013533256
Ivy Hazel Bermudez, MA, LPC's National Provider Identifier is 1013533256, issued on Jun 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Amarillo, TX. The record was last updated on Jun 23, 2020.