Individual
MS. JODY LYNN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP
Contact information
Practice address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(610) 525-9212
Mailing address
7215 MCCALLUM ST, PHILADELPHIA, PA 19119-2939
(215) 248-5866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002446L
PA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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