Individual provider · Type 1 NPI
Evan Berwin Bederman, L.M.H.C.
Mental Health Counselor · Rego Park, NY
NPI number
1164692182
Active
Practice location
9850 67th Ave, Apt. 3H
Rego Park, NY 11374-4965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 003023-1 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1164692182
Evan Berwin Bederman, L.M.H.C.'s National Provider Identifier is 1164692182, issued on Mar 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rego Park, NY. The record was last updated on Oct 27, 2014.