Healthcare Provider Details

I. General information

NPI: 1891411856
Provider Name (Legal Business Name): SHAYE HATFIELD BERRY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 ROHRERSTOWN RD
LANCASTER PA
17601-2322
US

IV. Provider business mailing address

40 WEST KING STREET APT 202
LANCASTER PA
17603
US

V. Phone/Fax

Practice location:
  • Phone: 717-735-1920
  • Fax:
Mailing address:
  • Phone: 717-413-1565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: