Individual
GROVER BERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA MANAGEMENT
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 982-2928
Mailing address
3360 N RANCHO DR. STE.113, LAS VEGAS, NV 89130
(702) 982-2928
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
NV
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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