Individual
CYNTHIA L BERRY
Active
Individual
CYNTHIA L BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0744
NC
103TC0700X
Clinical Psychologist
Primary
0744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1421V
BCBS
NC
05
—
6107438
—
NC
01
—
MIS #600494539
MAGELLAN
NC
01
—
NPI#1710036967
MEDCOST
NC
Enumeration date
01/09/2007
Last updated
01/17/2024
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