Individual
KIERSTYN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W COMMERCIAL ST, SUITE 205, PORTLAND, ME 04101-4797
(207) 874-1065
Mailing address
75 W COMMERCIAL ST, SUITE 205, PORTLAND, ME 04101-4797
(207) 874-1068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
08/03/2021
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