Doctor Name: | ANN BERRYMAN |
NPI Number: | 1144654799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | LL00003352 |
Business Practice Address: | 32290 1st Ave S Federal Way, WA - 980035722 |
Business Phone Number: | 8777129834 |
Business Fax Number: | |
Mailing Address: | 32290 1st Ave S, FEDERAL WAY |
State: | WA |
Postal Code: | 980035722 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |