Individual
SHANDA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
3025 HAMAKER CT STE 330, FAIRFAX, VA 22031-2243
(571) 282-3923
(571) 730-4091
Mailing address
3025 HAMAKER CT STE 330, FAIRFAX, VA 22031-2243
(571) 282-3923
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
20513
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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