Individual
CAROLYN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7840 MISSION CENTER CT STE 200, SAN DIEGO, CA 92108-1320
(619) 692-0622
Mailing address
7840 MISSION CENTER CT STE 200, SAN DIEGO, CA 92108-1320
(619) 692-0622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18137
CA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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