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Contact Information

ELOISE J BERRY, PhD
14 S BRYN MAWR AVE STE 205
BRYN MAWR, PA19010-3216
 Phone: 610-525-4828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELOISE J BERRY · (Female)

NPI # 1427028489
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/24/2006
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00415300
  • NJ License # SI00415300
  • PA License # PS-018232
  • NJ Medicaid 0060836
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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