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NPI Code Detail

MEDICARE: HAYLEY BERRY

MEDICARE: HAYLEY BERRY
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
12355S0801XSpeech-Language Assistant33185TX

General Provider Information

NPI Number : 1982738985
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY BERRY
Provider Business Mailing Address
First Line : 2612 WILLING AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-3032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 508 S ADAMS ST
Second Line : SUITE 102
City : FORT WORTH
State : TX
Zip : 76104-2147
Country : US
Telephone Number : 817-878-2834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ HAYLEY BERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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