Individual
MRS. J TALESE HOLCOMB BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
1531 S BROAD ST, SCOTTSBORO, AL 35768-2647
(256) 259-4433
(256) 259-4435
Mailing address
813 CHAVIES RD, RAINSVILLE, AL 35986-4659
(256) 506-0281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1888
AL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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