Individual
KAITLYN BROOKE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 MAIN CIRCLE ST, CONNELLY SPRINGS, NC 28612-7506
(828) 368-0729
(828) 368-0688
Mailing address
108 JACOB AND SARAH DR, VILAS, NC 28692-9125
(770) 296-5510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1114342615
NC
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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