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NPI Code Detail

MEDICARE: DENA BETH BERG M.S.

MEDICARE: DENA BETH BERG M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1427494822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA BETH BERG M.S.
Provider Business Mailing Address
First Line : 2144 E APOLLO AVE
Second Line :
City : TEMPE
State : AZ
Zip : 85283-2443
Country : US
Telephone Number : 480-228-4738
Fax Number :
Provider Business Practice Location Address
First Line : 815 E WARNER RD STE 106
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-1057
Country : US
Telephone Number : 480-963-5800
Fax Number : 480-963-5806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2013
Last Update Date : 05/13/2013

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Directions to “ DENA BETH BERG M.S.” Practice Location

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