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Individual
PHYLLIS BERENBERG
Active
Individual
PHYLLIS BERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101195
TX
235Z00000X
Speech-Language Pathologist
Primary
SA12654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174161301
—
TX
Enumeration date
08/03/2006
Last updated
04/22/2025
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