# MRS. LISA MARIE BERCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316138555
- **Gender:** F
- **Credential:** MA, CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000085 | MI | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 12/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316138555 | — | MI |