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Organization

JANON BERRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANON BERRY LPC (PSYCHOTHERAPIST)
(570) 763-9443
Entity
Organization

Contact information

Practice address
457 VAN KIRK ST, PHILADELPHIA, PA 19120-1120
(570) 763-9443
Mailing address
457 VAN KIRK ST, PHILADELPHIA, PA 19120-1120
(570) 763-9443

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
37PC00503200
NJ
305R00000X
Preferred Provider Organization
PC006772
PA

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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