Healthcare Provider Details

I. General information

NPI: 1407635006
Provider Name (Legal Business Name): APRIL BERRY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 GOVERNMENT ST
MOBILE AL
36604-2004
US

IV. Provider business mailing address

1850 AIRPORT BLVD
MOBILE AL
36606
US

V. Phone/Fax

Practice location:
  • Phone: 251-319-4575
  • Fax:
Mailing address:
  • Phone: 251-319-4575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: