Individual
SARA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
Mailing address
160 KEONEKAI ROAD, BULIDING 4, #102, KIHEI, HI 96753
(573) 631-0636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2140
HI
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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