Individual
MISS ALEXANDRIA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
805 W PARK ST, URBANA, IL 61801-2522
(217) 326-2824
Mailing address
305 WARREN AVE, NORMAL, IL 61761-1241
(217) 972-0081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015895
IL
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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