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NPI Code Detail

MEDICARE: MRS. SHARI LYN BERGER M.S., CCC-SLP

MEDICARE: MRS. SHARI LYN BERGER M.S., CCC-SLP
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 PathologistIL

General Provider Information

NPI Number : 1578529905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARI LYN BERGER M.S., CCC-SLP
Provider Business Mailing Address
First Line : RR 3 BOX 11
Second Line :
City : ALBION
State : IL
Zip : 62806-9595
Country : US
Telephone Number : 618-445-3166
Fax Number :
Provider Business Practice Location Address
First Line : 800 E LOCUST ST
Second Line :
City : OLNEY
State : IL
Zip : 62450-2553
Country : US
Telephone Number : 618-395-6099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SHARI LYN BERGER M.S., CCC-SLP” Practice Location

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