Individual
MRS. CECILIA L. BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1027 TURNBERRY CIR, LOUISVILLE, CO 80027-9594
(303) 870-9302
Mailing address
10180 NICKOLAS AVE, HIGHLANDS RANCH, CO 80130-8063
(303) 709-6899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831507136
—
CO
Enumeration date
07/30/2014
Last updated
12/14/2015
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