Individual
RACHEL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
9101 MEADE AVE, OAK LAWN, IL 60453-1570
(708) 599-7070
Mailing address
110 PINEHURST CT, BURBANK, IL 60459-1377
(630) 901-8853
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179162
—
IL
Enumeration date
09/13/2022
Last updated
09/13/2022
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