Berry, Jennifer Elaine
Berry, Jennifer Elaine is an individual health care provider with primary practice located at 1510 E Harding St , Morrilton AR 72110-1540. 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, Jennifer Elaine can be contacted via phone (501) 208-2316.Contact Information
Primary practice address
1510 E Harding St
Morrilton AR 72110-1540
Phone: (501) 208-2316
Fax: (501) 322-6427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2134 | Arkansas |
Profile Details
| NPI number | 1790796308 |
|---|---|
| LBN Legal business name | Berry, Jennifer Elaine |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Oct 12th, 2023 - about 3 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 | 1790796308 | NPPES |
| Arkansas | MEDICAID | 152322721 |
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