| Organization Name: | CORA S. BERRY PC |
| NPI Number: | 1740655265 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORA SIMMERMAN BERRY (PRESIDENT) |
| Mailing Address: | 812 W 13th St Mc Cook |
| State: | NE US |
| Postal Code: | 690012927 |
| Phone Number: | 3083451429 |
| Fax Number: | 3083456513 |
| NPI Enumeration Date: | 12/09/2015 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 011 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |