Individual
THURAYYA TYMIKA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 BURBRIDGE ST, PHILADELPHIA, PA 19144-2506
(267) 456-2098
Mailing address
6320 BURBRIDGE ST, PHILADELPHIA, PA 19144-2506
(267) 456-2098
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4376362
PA
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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