Individual
KAITLYN MENDENHALL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1583 RIDERWOOD CT, DECATUR, GA 30033-1505
(678) 429-3790
Mailing address
102 PIERREPONT ISLE, DULUTH, GA 30097-5908
(678) 381-7587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002431
GA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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