Individual
NICOLE CHRISTINE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3401 CRANBERRY BLVD, WESTON, WI 54476-5217
(715) 393-2000
Mailing address
8004 SOUTHRIDGE DR, ROTHSCHILD, WI 54474-1300
(715) 359-7220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3409-154
WI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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