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Contact Information

ANDREW BERRY, PH.D., PSY.D., ABPP
632 PLANK ROAD
SUITE 209
CLIFTON PARK, NY12065-4882
 Phone: 518-587-4161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychoanalyst

102L00000X
Indicates primary specialty

NPI Profile & details for ANDREW BERRY · (Male)

NPI # 1023187192
Status Active
Credentials PH.D., PSY.D., ABPP
Entity Individual
Enumeration date 11/06/2006
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017785
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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