Individual
DR. MARY JEANNE BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7580
Mailing address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7580
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
506039G
WA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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