| Doctor Name: | JUSTIN BERRY |
| NPI Number: | 1063871226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, CCC-SLP |
| License Number: | SLP8879 |
| Business Practice Address: | 2205 Eastwood Dr Durham, NC - 277036105 |
| Business Phone Number: | 5203045329 |
| Business Fax Number: | |
| Mailing Address: | 2205 Eastwood Dr, DURHAM |
| State: | NC |
| Postal Code: | 277036105 |
| Phone Number: | 5203045329 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP8879 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |