| Doctor Name: | CORA S. BERRY |
| NPI Number: | 1073520508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 011 |
| Business Practice Address: | 812 W 13th St Mccook, NE - 690012927 |
| Business Phone Number: | 3083451429 |
| Business Fax Number: | 3083456513 |
| Mailing Address: | 812 W 13th St, MCCOOK |
| State: | NE |
| Postal Code: | 690012927 |
| Phone Number: | 3083451429 |
| Fax Number: | 3083456513 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 011 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |