Organization
BERRY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BERRY PHD, CCC-SLP (SPEECH PATHOLOGIST)
(843) 906-7105
Entity
Organization
Contact information
Practice address
4699 CHARLESTON HWY, ROWESVILLE, SC 29133-9400
(803) 347-3329
Mailing address
4699 CHARLESTON HWY, ROWESVILLE, SC 29133-9400
(803) 347-3329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5665
SC
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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