Individual
SHANNI GELLER BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 S RIVER RD UNIT 9, BEDFORD, NH 03110-6934
(603) 296-5241
(603) 606-2443
Mailing address
23 W WHEELOCK ST APT J, HANOVER, NH 03755-1723
(510) 685-4874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P-0740
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14331999
CAQH
NH
Enumeration date
09/12/2018
Last updated
09/12/2018
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