Individual
JOSEPH BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., SLP
Contact information
Practice address
29 SEA RD, KENNEBUNK, ME 04043-7214
(207) 985-1105
Mailing address
29 SEA RD, KENNEBUNK, ME 04043-7214
(207) 985-1105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP643
ME
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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