Berry, Angelic
Berry, Angelic is an sole proprietor health care provider with primary practice located at 4732 Patriots Dr , Scott Afb IL 62225-1197. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Berry, Angelic can be contacted via phone (618) 746-4738.Contact Information
Primary practice address
4732 Patriots Dr
Scott Afb IL 62225-1197
Phone: (618) 746-4738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.010486 | Illinois |
Profile Details
| NPI number | 1033530845 |
|---|---|
| LBN Legal business name | Berry, Angelic |
| Credentials | M.ED, M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2013 |
| Last updated | Dec 20th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033530845 | NPPES |
| Illinois | Other | 934010 | ILLINOIS STATE BOARD OF EDUCATION |
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