Doctor Name: | MS. ALIVIA BERRY |
NPI Number: | 1255797882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 46002894A |
Business Practice Address: | 1353 E Main St Brownsburg, IN - 461121433 |
Business Phone Number: | 3172945242 |
Business Fax Number: | |
Mailing Address: | 336 Neuman Way, CARMEL |
State: | IN |
Postal Code: | 460321949 |
Phone Number: | 3173844597 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46002894A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |