Individual
KELSEY BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8765 W KELTON LN STE 116, PEORIA, AZ 85382-5008
(623) 977-4911
Mailing address
8765 W KELTON LN STE 116, PEORIA, AZ 85382-5008
(623) 977-4911
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10050
AZ
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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