Individual
DR. PATRICE J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
615 JEFFERSON DAVIS HWY, STE 202, FREDERICKSBURG, VA 22401-8407
(540) 300-7004
(540) 627-5094
Mailing address
615 JEFFERSON DAVIS HWY, STE 202, FREDERICKSBURG, VA 22401-8407
(540) 300-7004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004308
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649506940
—
VA
05
—
200125300
—
VA
Enumeration date
09/21/2010
Last updated
04/07/2020
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