Individual
ELOISE J BERRY
Active
Individual
ELOISE J BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
35SI00415300
NJ
103TC1900X
Counseling Psychologist
Primary
PS-018232
PA
103TC2200X
Clinical Child & Adolescent Psychologist
SI00415300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060836
—
NJ
Enumeration date
01/24/2006
Last updated
03/08/2021
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