Individual
MILLY ANNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5 REMINGTON DR, LITTLE ROCK, AR 72204-8202
(501) 850-8788
(501) 850-8791
Mailing address
5200 LEE AVE, LITTLE ROCK, AR 72205-3645
(501) 664-8022
(501) 850-8788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1366
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143779721
—
AR
Enumeration date
01/16/2007
Last updated
04/23/2012
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