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Contact Information

ROBERT A BERRY, PHD
2860 HOPI DRVE, SUITE 2B
SEDONA, AZ86336
 Phone: 312-719-6789
 Fax: 928-554-4166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT A BERRY · (Male)

NPI # 1588770572
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/22/2006
Last updated 01/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1987
  • IL License # 071003335
  • IL Other 0001673028 BCBS PROVIDER#
  • IL Other 35193 NATIONAL REGISTER
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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