Individual
DR. ROBERT A BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2860 HOPI DRVE, SUITE 2B, SEDONA, AZ 86336
(312) 719-6789
(928) 554-4166
Mailing address
PO BOX 4265, SEDONA, AZ 86340-4265
(312) 719-6789
(928) 554-4166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071003335
IL
103TC0700X
Clinical Psychologist
Primary
1987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673028
BCBS PROVIDER#
IL
01
—
35193
NATIONAL REGISTER
IL
Enumeration date
08/22/2006
Last updated
01/10/2018
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