NPI Profile for BILLY L BERRY in JASPER, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Marriage & Family Therapist |
106H00000X |
| NPI # | 1255459780 |
|
| Status | Active | |
| Credentials | MARRIAGE FAMILY THER | |
| Entity | Individual | |
| Enumeration date | 03/26/2007 | |
| Last updated | 10/28/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BILLY L BERRY
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