Individual
MRS. EMILY REBECCA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
3201 W MARKET ST, GREENSBORO, NC 27403-1455
(336) 508-5321
Mailing address
2509 PATRIOT WAY UNIT D, GREENSBORO, NC 27408-2753
(336) 312-6221
(336) 510-0584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4611
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740236B
—
NC
Enumeration date
08/09/2006
Last updated
07/09/2007
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