BRYCE LIEDTKE
NPI 1063934164
Specialist in Berkeley, CA

Active since July 10, 2017
3200 ADELINE ST, BERKELEY, CA 94703(510) 506-0203 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryce Liedtke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYCE LIEDTKE (NPI 1063934164) is an individual specialist in Berkeley, California and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1063934164
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBRYCE LIEDTKE
Location Address3200 ADELINE STBerkeley, CA 94703-2407
Mailing Address3200 Adeline StBerkeley, CA 94703-2407
Sole ProprietorNo
Enumeration DateJuly 10, 2017
NPI 1063934164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3200 ADELINE ST, Berkeley, CA 94703

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3200 ADELINE ST
BERKELEY, CA 94703
Technician, Health Information
3200 ADELINE ST
BERKELEY, CA 94703
Technician, Health Information
3200 ADELINE ST
BERKELEY, CA 94703
Social Worker
3200 ADELINE ST
BERKELEY, CA 94703
Counselor (Mental Health)
3200 ADELINE ST
BERKELEY, CA 94703
Psychologist (Clinical)
3200 ADELINE ST
BERKELEY, CA 94703
Marriage & Family Therapist
3200 ADELINE ST
BERKELEY, CA 94703
Foster Care Agency
3200 ADELINE ST
BERKELEY, CA 94703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryce Liedtke's NPI number?

The NPI number for Bryce Liedtke is 1063934164. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Bryce Liedtke located?

Bryce Liedtke practices at 3200 Adeline St, Berkeley, CA 94703. The listed phone number is (510) 506-0203.

What is Bryce Liedtke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bryce Liedtke was last updated on July 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.