Individual
LOREN MICHELLE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 PETERS ROAD, SUITE 1000, PLANTATION, FL 33324-3332
(561) 404-1422
Mailing address
8201 PETERS RD STE 1000, PLANTATION, FL 33324-3266
(561) 404-1422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
01/29/2019
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