Individual
NICOLE BERRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10567
MARYLAND DEPT OF HEALTH
MD
05
—
502165100
—
MD
Enumeration date
07/12/2018
Last updated
07/28/2023
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