Individual
MS. SARA M BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
768 E MARIAH HILL RD, FERDINAND, IN 47532-9737
(217) 497-4958
Mailing address
768 E MARIAH HILL RD, FERDINAND, IN 47532-9737
(217) 497-4958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009783
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37068625001
—
IL
Enumeration date
08/25/2008
Last updated
01/05/2017
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